go back

Utah rates for HCPCS 15155

Cltr Skin Agrft F/S/N/H/F/G/M/D Gt 1st 25cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.79 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.33 / $671.60 / $1,206.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.14 / $909.35 / $1,192.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.32 / $473.26 / $743.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,537.58 / $6,904.89 / $9,912.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.63 / $940.52 / $1,230.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.16 / $807.10 / $1,190.08