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Utah rates for HCPCS 15935

Exc Sacral Pr Ulcer W/Skn Flap Clsr W/Ostectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,147.89 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.71 / $1,075.10 / $1,747.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.73 / $1,417.56 / $1,823.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.65 / $671.19 / $1,053.96
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
$1,259.27 / $1,423.93 / $1,930.11
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
$899.18 / $1,195.93 / $1,959.99