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Utah rates for HCPCS 12031

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $602.56 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $239.88 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $251.19 / $407.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $478.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $676.08 / $1,584.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $263.03 / $398.11
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $269.15 / $446.68
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $316.23 / $446.68
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
$131.83 / $208.93 / $346.74