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Utah rates for HCPCS 15220

Fth/Gft Free W/Direct Closure S/A/L 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.16 / $2,744.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.54 / $659.38 / $1,539.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.64 / $896.11 / $1,210.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.32 / $463.11 / $707.87
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
$676.75 / $856.45 / $1,213.48
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
$634.60 / $793.25 / $1,187.09