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Utah rates for HCPCS 26415

Exc Xtnsr Tdn W/Impltj Synth Rod Dlyd Grf H/F Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.36 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.64 / $962.36 / $4,387.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.29 / $1,009.19 / $1,793.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.08 / $503.03 / $788.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,684.92 / $6,137.22 / $8,943.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.99 / $1,315.60 / $1,745.84
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
$662.97 / $859.82 / $1,307.89