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Utah rates for HCPCS 13120

Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.22 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.14 / $274.52 / $545.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.79 / $380.78 / $554.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.65 / $242.59 / $332.84
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
$254.98 / $391.66 / $533.57
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
$274.45 / $354.90 / $507.00