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Utah rates for HCPCS 27254

Optx Hip Dislc Traumtc W/Actblr Wall&Fem Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,796.94 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.10 / $1,796.94 / $6,642.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.93 / $1,831.86 / $2,763.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $733.54 / $1,192.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,584.68 / $5,717.41 / $8,208.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.06 / $2,107.32 / $3,032.89
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
$1,104.30 / $1,361.98 / $2,127.53