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Utah rates for HCPCS 14061

Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.09 / $4,214.80 / $8,728.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.51 / $904.40 / $2,929.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.87 / $1,206.78 / $1,569.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.08 / $581.70 / $892.45
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
$905.16 / $1,108.10 / $1,635.98
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
$822.44 / $1,023.50 / $1,561.64