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Utah rates for HCPCS 23106

Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $6,025.60 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $676.08 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $1,096.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $389.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,495.41 / $12,589.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $954.99 / $1,348.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $933.25 / $1,202.26
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $831.76 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $794.33