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Utah rates for HCPCS 15770

Graft Derma-Fat-Fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.04 / $4,387.00 / $9,832.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.18 / $618.58 / $1,018.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.21 / $862.78 / $1,255.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.32 / $384.37 / $605.62
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
$728.47 / $832.71 / $1,144.84
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
$552.46 / $687.51 / $1,042.65