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Utah rates for HCPCS 11012

Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $3,235.94 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $588.84 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $645.65 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,187.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $4,570.88 / $10,964.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $724.44 / $1,122.02
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $691.83 / $1,258.93
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $831.76 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $602.56 / $891.25