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Utah rates for HCPCS 23172

Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $3,715.35 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $776.25 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $776.25 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $436.52
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
$741.31 / $1,096.48 / $1,380.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,071.52 / $1,348.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $1,288.25
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
$478.63 / $588.84 / $954.99