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Utah rates for HCPCS 15131

Dermal Autograft Trunk/Arm/Leg Ea 100 Cm/Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.65 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.83 / $90.52 / $147.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.89 / $118.95 / $153.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.44 / $90.12 / $114.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.79 / $117.38 / $166.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $4,445.00 / $4,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.48 / $100.98 / $156.06