go back

Utah rates for HCPCS 13102

Repair Complex Trunk Each Additional 5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.27 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.17 / $99.79 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.06 / $126.96 / $182.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.11 / $90.31 / $112.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.59 / $123.29 / $187.68
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
$98.74 / $123.48 / $171.50