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Utah rates for HCPCS 15650

Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $4,570.88 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $467.74 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $588.84 / $741.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $645.65
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
$446.68 / $676.08 / $1,000.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $831.76 / $1,174.90
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $691.83 / $1,023.29
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
$331.13 / $467.74 / $741.31