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Utah rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.01 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.64 / $144.01 / $269.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.60 / $199.60 / $279.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.98 / $129.38 / $167.39
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
$156.83 / $206.44 / $254.29
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
$141.47 / $174.84 / $252.81