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Utah rates for HCPCS 15261

Fth/Gft Free W/Dir Clsr N/E/E/L Ea Addl 20 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.83 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.95 / $166.10 / $314.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.03 / $226.66 / $320.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.22 / $180.62 / $222.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.34 / $226.57 / $330.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.71 / $215.64 / $344.44