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Utah rates for HCPCS 11042

Debridement Subcutaneous Tissue 1st 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.10 / $762.25 / $3,977.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.35 / $80.76 / $322.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.52 / $90.18 / $202.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.03 / $119.29 / $148.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.79 / $756.04 / $1,101.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.79 / $111.74 / $178.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.78 / $127.50 / $178.50