go back

Utah rates for HCPCS 15278

Sub Grft F/S/N/H/F/G/M/D >= 100scm Adl 100sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.65 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.65 / $80.91 / $211.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.68 / $87.56 / $148.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.11 / $90.31 / $110.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.89 / $98.97 / $132.81
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
$72.27 / $96.12 / $137.79