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Utah rates for HCPCS 69719

Rplcmt Oi Implt Skull Mag Tc Attachment Esp<100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.40 / $4,387.00 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.29 / $693.40 / $1,103.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.31 / $874.06 / $1,202.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $439.30 / $600.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,314.50 / $25,330.44 / $36,365.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.66 / $891.36 / $1,023.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.34 / $817.73 / $1,294.56