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Utah rates for HCPCS 23900

Interthoracoscapular Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,923.71 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.90 / $1,923.71 / $7,231.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.58 / $1,913.31 / $3,008.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $784.47 / $1,280.15
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
$1,814.14 / $2,309.98 / $3,312.25
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
$1,197.69 / $1,443.24 / $2,316.52