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Utah rates for HCPCS 23921

Disarticulation of shoulder; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $5,888.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $616.60 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $616.60 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $363.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,311.31 / $7,244.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $870.96 / $1,148.15
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $851.14 / $1,122.02
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $489.78 / $741.31