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Utah rates for HCPCS 21743

Repair Pectus Excavatm/Carinatm Minly W/Thrsc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,142.00 / $4,387.00 / $10,458.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.79 / $1,538.97 / $3,216.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,636.34 / $2,175.54 / $3,451.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $3,917.49
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
$2,086.54 / $2,620.98 / $4,376.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.00 / $4,912.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.69 / $1,569.57 / $2,517.89