go back

Utah rates for HCPCS 15271

App Skn Sub Grft T/A/L Area/100sq Cm /<1st 25

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.35 / $3,084.00 / $5,743.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.78 / $122.03 / $236.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.10 / $139.09 / $240.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.29 / $146.53 / $183.27
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
$92.25 / $158.26 / $217.56
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
$121.43 / $156.88 / $221.39