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Utah rates for HCPCS 13152

Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $4,168.69 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $436.52 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $537.03 / $794.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,737.80
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
$371.54 / $602.56 / $1,148.15
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $549.54 / $933.25
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $630.96 / $1,174.90
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
$309.03 / $446.68 / $707.95