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Utah rates for HCPCS 12053

Repair Intermediate F/E/E/N/L&/Muc 5.1-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.35 / $615.16 / $4,312.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $285.79 / $557.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.08 / $354.65 / $567.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.65 / $242.59 / $332.84
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
$237.64 / $380.91 / $527.05
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
$292.04 / $365.76 / $524.34