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Utah rates for HCPCS 12011

Simple Repair F/E/E/N/L/M 2.5cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.21 / $405.31 / $808.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.68 / $119.32 / $382.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.11 / $133.33 / $193.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.11 / $89.98 / $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
$61.25 / $106.01 / $167.91
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
$86.32 / $113.68 / $177.01