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Utah rates for HCPCS 14020

Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $4,265.80 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $660.69 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $812.83 / $1,096.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,089.30
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
$630.96 / $912.01 / $1,584.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,071.52 / $1,698.24
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $912.01 / $1,479.11
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
$489.78 / $660.69 / $1,000.00