go back

Utah rates for HCPCS 31230

Maxillectomy; with orbital exenteration (en bloc)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,290.87 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,754.23 / $4,466.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $3,981.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,890.45 / $7,244.36
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $3,630.78 / $5,011.87
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,019.95 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,344.23 / $4,168.69