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Utah rates for HCPCS 12001

Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.86 / $403.41 / $2,910.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.09 / $99.33 / $344.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.23 / $119.41 / $176.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.05 / $86.05 / $110.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.07 / $379.59 / $553.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.45 / $83.01 / $136.71
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
$74.81 / $94.54 / $152.22