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Utah rates for HCPCS 12014

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $436.52 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $125.89 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $162.18 / $239.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $380.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $346.74 / $758.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $151.36 / $245.47
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $158.49 / $257.04
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $181.97 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $123.03 / $204.17