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Utah rates for HCPCS 21452

Percutaneous Tx Mandibular Fx W/External Fixj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.41 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.60 / $720.61 / $2,296.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.28 / $719.47 / $1,265.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.74 / $422.45 / $638.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.90 / $915.77 / $1,384.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.59 / $744.44 / $1,187.08