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Utah rates for HCPCS 10121

Incision and removal of foreign body, subcutaneous tissues; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $3,388.44 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $263.03 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $288.40 / $416.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $616.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,754.23 / $6,309.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $302.00 / $457.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $295.12 / $446.68
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $338.84 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $380.19