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Utah rates for HCPCS 13121

Repair Complex Scalp/Arm/Leg 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.47 / $1,391.78 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.00 / $362.85 / $740.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.14 / $465.94 / $663.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $293.20 / $388.15
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
$283.39 / $467.86 / $650.34
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
$346.95 / $440.64 / $678.34