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Utah rates for HCPCS 26390

Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.36 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.17 / $1,150.36 / $4,498.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.16 / $1,176.79 / $1,903.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.08 / $517.39 / $803.02
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
$1,159.24 / $1,394.84 / $1,928.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.95 / $881.28 / $1,444.31