go back

Utah rates for HCPCS 12047

Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $3,388.44 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $478.63 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $562.34 / $851.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,202.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,311.31 / $7,244.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $616.60 / $912.01
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $602.56 / $1,000.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $707.95 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $467.74 / $741.31