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Utah rates for HCPCS 21705

Division Scalenus Anticus Resection Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.28 / $870.96 / $2,718.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.72 / $818.58 / $1,122.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.70 / $338.54 / $504.34
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
$689.72 / $914.03 / $1,420.16
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
$466.20 / $609.62 / $937.68