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Utah rates for HCPCS 15260

Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.26 / $3,064.00 / $5,743.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.07 / $912.26 / $1,676.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.98 / $1,184.98 / $1,573.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.08 / $581.70 / $920.84
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
$935.42 / $1,110.69 / $1,527.59
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
$826.50 / $1,016.02 / $1,544.76