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Utah rates for HCPCS 11403

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $177.83 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $218.78 / $309.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $489.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,202.26 / $2,754.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $239.88 / $323.59
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $223.87 / $363.08
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $251.19 / $363.08
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
$128.82 / $177.83 / $269.15