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Utah rates for HCPCS 22319

Optx&/Rdctj Odntd Fx&/Dislc Ant W/Int Fixj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,586.02 / $4,387.00 / $10,458.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.41 / $2,586.02 / $9,158.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,840.97 / $2,580.00 / $3,912.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.69 / $1,035.63 / $1,694.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,947.45 / $24,875.82 / $35,712.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,432.48 / $3,131.37 / $4,853.76
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
$1,579.49 / $1,895.41 / $3,094.28