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Utah rates for HCPCS 21440

Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.45 / $3,294.00 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.85 / $649.64 / $2,740.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.19 / $725.22 / $1,354.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.74 / $429.95 / $670.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.28 / $1,077.16 / $1,402.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.98 / $663.42 / $1,031.06