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Utah rates for HCPCS 13100

Repair Complex Trunk 1.1-2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.40 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.01 / $263.89 / $469.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.93 / $366.43 / $514.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $227.80 / $317.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.66 / $1,190.82 / $1,735.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.66 / $356.52 / $509.80
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
$280.63 / $340.53 / $486.00