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Utah rates for HCPCS 11971

Removal of tissue expander without insertion of implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $3,388.44 / $6,025.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $4,570.88 / $10,964.78
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,888.44 / $6,918.31 / $16,595.87
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46