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Utah rates for HCPCS 15740

Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.04 / $2,744.00 / $4,798.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.61 / $926.17 / $2,960.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.90 / $1,208.32 / $1,596.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.08 / $614.16 / $957.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,814.80 / $3,509.81 / $5,038.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.57 / $1,126.93 / $1,681.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.98 / $1,032.88 / $1,659.95