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Utah rates for HCPCS 15734

Muscle, myocutaneous, or fasciocutaneous flap; trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,425.80 / $4,387.00 / $7,789.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.21 / $1,563.08 / $4,566.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.62 / $1,849.91 / $2,509.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $874.43 / $1,388.90
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
$1,638.41 / $1,845.41 / $3,186.29
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
$1,254.96 / $1,543.22 / $2,338.30