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Utah rates for HCPCS 69717

Rplcmt Oi Implt Skull Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.48 / $4,387.00 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.08 / $1,310.48 / $1,475.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.71 / $1,394.29 / $1,863.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $398.73 / $537.27
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
$735.84 / $1,864.94 / $2,190.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.69 / $1,254.33 / $2,275.92