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Utah rates for HCPCS 15121

Split Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm/Ea 1 %

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.45 / $3,294.00 / $7,568.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00