go back

Utah rates for HCPCS 12052

Repair Intermediate F/E/E/N/L&/Muc 2.6-5.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.91 / $596.73 / $3,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.29 / $284.20 / $516.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.96 / $346.26 / $493.20
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
$220.29 / $347.12 / $449.04
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
$247.16 / $312.89 / $453.62