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Utah rates for HCPCS 15630

Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $4,570.88 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $426.58 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $512.86 / $724.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,089.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,311.31 / $7,244.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $575.44 / $1,047.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $707.95 / $1,258.93
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $588.84 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $416.87 / $645.65