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Utah rates for HCPCS 15050

Pinch Graft 1/Mlt Sm Ulcer Tip/Oth Ar Up To 2 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.20 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.49 / $467.20 / $901.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.60 / $660.24 / $919.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.32 / $360.11 / $553.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.66 / $1,190.82 / $1,735.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.48 / $653.74 / $924.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.86 / $603.72 / $855.27