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Utah rates for HCPCS 15733

Musc Myoq/Fscq Flap Head&Neck W/Named Vasc Pedcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.66 / $5,743.00 / $9,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.38 / $1,125.66 / $3,435.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.63 / $1,394.79 / $2,928.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.51 / $603.66 / $958.28
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
$1,119.39 / $1,264.84 / $1,669.74
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
$868.26 / $1,077.83 / $1,545.14