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Utah rates for HCPCS 14001

Adjnt Tis Transfr/Rearrange Trunk 10.1-30.0 Sqcm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.92 / $3,294.00 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.23 / $697.92 / $1,651.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.50 / $942.46 / $1,277.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.32 / $463.11 / $747.20
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
$725.45 / $903.31 / $1,316.42
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
$662.66 / $822.60 / $1,231.31