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Utah rates for HCPCS 15630

Delay Flap/Sctj Flap Eyelids Nose Ears/Lips

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.25 / $3,038.00 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.22 / $394.20 / $698.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.13 / $514.04 / $725.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.37 / $277.07 / $428.00
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
$383.02 / $515.49 / $712.25
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
$362.44 / $471.33 / $770.54