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Utah rates for HCPCS 12017

Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.59 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.29 / $183.59 / $230.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.61 / $230.25 / $324.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.58 / $136.86 / $171.50
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
$166.01 / $188.60 / $260.89
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
$126.56 / $161.68 / $264.32