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Utah rates for HCPCS 14000

Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.77 / $3,038.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.78 / $530.77 / $958.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.29 / $726.67 / $1,000.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.32 / $384.37 / $584.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,814.80 / $3,509.81 / $5,038.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.88 / $709.22 / $986.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.51 / $645.64 / $958.23