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Utah rates for HCPCS 13153

Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $173.78 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $213.80 / $288.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $426.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $229.09 / $316.23
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $208.93 / $354.81
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $234.42 / $346.74
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
$123.03 / $169.82 / $269.15