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Utah rates for HCPCS 15150

Cltr Skin Autograft T/A/L 1st 25 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.36 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.99 / $665.36 / $1,067.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.77 / $850.18 / $1,061.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.16 / $435.61 / $622.89
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
$710.33 / $841.01 / $1,205.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $4,455.00 / $4,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.19 / $727.89 / $1,059.65