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Utah rates for HCPCS 12031

Repair Intermediate S/A/T/E 2.5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.39 / $741.75 / $3,977.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.66 / $231.53 / $562.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.87 / $277.51 / $409.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $184.63 / $253.05
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
$167.53 / $273.19 / $360.01
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
$201.04 / $250.95 / $365.67