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Utah rates for HCPCS 21740

Repair Pectus Excavatum/Carinatum Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.49 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.98 / $1,494.49 / $5,267.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.79 / $1,534.18 / $2,218.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.06 / $575.57 / $953.73
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
$1,331.13 / $1,728.62 / $2,661.64
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
$893.10 / $1,071.73 / $1,775.98