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Utah rates for HCPCS 11404

Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L 3.1-4.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.44 / $2,870.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.29 / $201.69 / $589.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.88 / $243.17 / $352.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.48 / $157.07 / $201.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,327.64 / $3,074.05 / $4,479.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.39 / $249.81 / $333.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.56 / $228.24 / $367.72