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Utah rates for HCPCS 15738

Musc Myocutaneous/Fasciocutaneous Flap Lxtr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,332.58 / $3,294.00 / $7,568.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$666.29 / $666.29 / $749.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.66 / $1,281.32 / $1,926.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.30 / $1,724.98 / $2,126.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $747.76 / $1,152.08
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
$1,387.37 / $1,557.59 / $3,002.87
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
$1,080.66 / $1,350.83 / $2,208.36