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Utah rates for HCPCS 21700

Division Scalenus Anticus W/O Rescj Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.04 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.01 / $514.02 / $1,821.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.78 / $546.74 / $751.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.36 / $214.34 / $338.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,361.94 / $13,564.50 / $19,767.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.56 / $610.32 / $948.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.64 / $397.76 / $625.13