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Utah rates for HCPCS 15842

Grf Facial Nrv Palyss Fr Muscle Flap Microsurg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,673.28 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,050.66 / $2,512.94 / $4,080.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,437.44 / $3,350.00 / $7,652.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.35 / $1,545.74 / $2,487.67
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
$2,933.02 / $3,305.01 / $5,274.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $4,455.00 / $4,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,171.21 / $2,749.26 / $4,006.05