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Utah rates for HCPCS 14040

Adjt Tis Trns/Reargmt F/C/C/M/N/A/G/H/F 10sqcm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.44 / $3,038.00 / $5,854.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.32 / $767.27 / $2,061.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.33 / $905.56 / $1,197.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.16 / $449.59 / $707.61
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
$691.14 / $845.75 / $1,246.64
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
$625.24 / $778.09 / $1,178.25