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Utah rates for HCPCS 21616

Excision 1st &/Cervical Rib W/Sympathectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.84 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.80 / $1,158.84 / $3,635.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.82 / $1,093.27 / $1,507.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.71 / $402.73 / $661.16
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
$927.74 / $1,222.36 / $1,965.52
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
$633.79 / $827.70 / $1,304.74