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Utah rates for HCPCS 14000

Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $3,548.13 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $588.84 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $724.44 / $977.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,412.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,311.31 / $7,244.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $812.83 / $1,348.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $977.24 / $1,230.27
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $891.25