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Utah rates for HCPCS 12035

Repair Intermediate S/A/T/E 12.6-20.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.15 / $2,744.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.97 / $308.42 / $591.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.12 / $399.90 / $608.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.82 / $298.90 / $404.13
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
$267.16 / $410.16 / $584.91
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
$319.87 / $397.08 / $650.77