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Utah rates for HCPCS 15136

Dermal Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm/Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.10 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.87 / $86.10 / $145.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.69 / $116.83 / $151.44
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 / $116.16 / $151.58
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
$76.59 / $101.88 / $146.05