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Utah rates for HCPCS 12005

Smpl Rpr Scalp/Neck/Ax/Genit/Trunk 12.6-20.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.01 / $513.19 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.04 / $158.51 / $368.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.47 / $203.16 / $282.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.29 / $151.36 / $183.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.79 / $756.04 / $1,101.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.43 / $185.67 / $258.00
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
$134.72 / $175.68 / $260.10