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Utah rates for HCPCS 12047

Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.76 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.76 / $363.67 / $829.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.85 / $561.14 / $857.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.82 / $378.55 / $503.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,814.80 / $3,509.81 / $5,038.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.88 / $608.00 / $856.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.20 / $555.48 / $796.31