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Utah rates for HCPCS 12036

Repair Intermediate S/A/T/E 20.1-30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.39 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.66 / $370.66 / $656.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.82 / $451.71 / $679.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $309.04 / $412.06
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.66 / $1,190.82 / $1,735.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.54 / $478.16 / $646.37
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
$356.28 / $444.25 / $641.91