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Utah rates for HCPCS 21630

Radical Resection Sternum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,811.22 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.98 / $1,811.22 / $6,295.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.11 / $1,773.81 / $2,794.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $759.57 / $1,244.01
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
$1,715.80 / $2,055.39 / $3,046.21
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
$1,056.76 / $1,312.53 / $2,072.67