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Utah rates for HCPCS 23490

Proph Tx W/Wo Methylmethacrylate Clavicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.92 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.51 / $1,228.92 / $4,506.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.78 / $1,187.64 / $1,829.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.71 / $498.80 / $807.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,361.94 / $13,564.50 / $19,767.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.75 / $1,391.43 / $2,044.32
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
$746.40 / $920.56 / $1,467.92