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Utah rates for HCPCS 21603

Excision Ch Wal Tum W/Rib W/Medstnl Lymphadec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,535.94 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.60 / $2,535.94 / $9,100.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.02 / $2,523.62 / $3,630.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.69 / $964.12 / $1,528.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,147.96 / $12,655.20 / $18,168.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,188.81 / $2,618.14 / $4,333.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.88 / $1,876.64 / $3,043.19