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Utah rates for HCPCS 17108

Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $562.34 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $3,090.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,311.31 / $7,244.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $794.33 / $1,071.52
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $776.25 / $1,096.48
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $912.01