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Utah rates for HCPCS 17264

Destruction Malignant Lesion Trunk/Arm/Leg 3.1-4.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.22 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.77 / $173.65 / $315.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.75 / $227.95 / $324.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.48 / $157.07 / $201.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.79 / $756.04 / $1,101.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.28 / $222.39 / $313.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.32 / $207.71 / $314.20