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Utah rates for HCPCS 12002

Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.58 / $389.07 / $846.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $117.01 / $407.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.29 / $135.38 / $193.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.11 / $90.31 / $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
$64.94 / $109.72 / $167.82
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
$91.23 / $114.04 / $183.27