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Utah rates for HCPCS 21445

Optx Mandibular/Maxillary Alveolar Ridge Fx Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.48 / $805.93 / $3,371.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.38 / $941.32 / $1,423.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.98 / $444.99 / $707.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.50 / $1,166.93 / $1,898.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.54 / $799.20 / $1,309.80