go back

Utah rates for HCPCS 15272

App Skn Sub Grft T/A/L Area/100sq Cm Ea Adl 25sc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.29 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.10 / $22.46 / $38.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.75 / $26.63 / $38.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.68 / $45.34 / $67.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.45 / $27.31 / $42.16
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
$21.00 / $27.20 / $43.50