go back

Utah rates for HCPCS 13100

Repair, complex, trunk; 1.1 cm to 2.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $3,388.44 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $288.40 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $331.13 / $512.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $524.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $2,454.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $354.81 / $524.81
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $354.81 / $575.44
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $416.87 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $281.84 / $446.68