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Utah rates for HCPCS 23900

Interthoracoscapular amputation (forequarter)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,819.70 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,905.46 / $3,019.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,454.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $23,442.29 / $52,480.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,691.53 / $3,548.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,570.40 / $3,388.44
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,187.76 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $5,128.61 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,445.44 / $2,238.72