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Utah rates for HCPCS 15240

Fth/Gf Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20sqcm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.37 / $3,840.08 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.29 / $843.37 / $1,437.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.39 / $1,088.77 / $1,462.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.31 / $542.91 / $831.30
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
$882.65 / $1,033.57 / $1,576.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.97 / $955.09 / $1,430.73