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Utah rates for HCPCS 12042

Repair Intermediate N/H/F/Xtrnl Gent 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.03 / $614.79 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.47 / $279.62 / $711.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.75 / $336.55 / $484.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.65 / $205.38 / $286.26
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
$216.23 / $330.32 / $440.62
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
$242.76 / $307.45 / $447.92