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Utah rates for HCPCS 12056

Repair Intermediate F/E/E/N/L&/Muc 20.1-30.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.49 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.27 / $393.04 / $881.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.89 / $580.14 / $905.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $419.56 / $541.44
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
$425.09 / $639.39 / $824.72
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
$460.04 / $579.87 / $824.52