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Utah rates for HCPCS 12051

Repair Intermediate F/E/E/N/L&/Muc 2.5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.17 / $535.16 / $3,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.99 / $256.39 / $607.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.67 / $309.56 / $442.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.65 / $190.44 / $261.03
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
$187.45 / $298.67 / $392.68
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
$222.47 / $278.97 / $477.51