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Utah rates for HCPCS 13133

Repair Complex F/C/C/M/N/Ax/G/H/F Ea Addl 5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.56 / $2,922.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.43 / $149.97 / $258.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.18 / $195.65 / $264.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.29 / $151.64 / $187.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.27 / $197.08 / $277.06
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
$143.37 / $178.15 / $256.47