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Utah rates for HCPCS 12014

Simple Repair F/E/E/N/L/M 5.1cm-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.92 / $431.73 / $4,291.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.84 / $128.51 / $232.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.38 / $167.69 / $249.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.37 / $122.02 / $144.65
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
$82.66 / $148.07 / $219.04
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
$115.04 / $144.36 / $227.48