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Utah rates for HCPCS 15731

Forehead Flap W/Preservation Vascular Pedicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.85 / $3,038.00 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.18 / $1,080.85 / $1,708.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.38 / $1,368.79 / $1,770.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.08 / $666.61 / $1,022.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,537.58 / $6,904.89 / $9,912.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.05 / $1,246.10 / $1,922.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.62 / $1,158.11 / $1,861.23