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Utah rates for HCPCS 21742

Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,627.85 / $4,387.00 / $10,458.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.06 / $1,215.99 / $2,445.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.22 / $1,653.81 / $2,622.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $921.24 / $2,811.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,684.92 / $6,137.22 / $8,943.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.68 / $1,992.19 / $3,029.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.73 / $1,213.00 / $1,914.00