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Utah rates for HCPCS 12057

Repair Intermediate F/E/E/N/L&/Muc >30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.48 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.22 / $429.09 / $931.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.07 / $643.79 / $949.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $430.34 / $571.74
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
$463.83 / $669.75 / $896.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $4,445.00 / $4,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.49 / $625.33 / $896.44