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Utah rates for HCPCS 11970

Replacement of tissue expander with permanent implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $6,918.31 / $13,803.84
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,715.35 / $9,332.54 / $17,378.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $12,302.69 / $28,183.83
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$15,488.17 / $18,197.01 / $41,686.94
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,128.61 / $13,803.84