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Utah rates for HCPCS 20103

Exploration of penetrating wound (separate procedure); extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $3,162.28 / $4,570.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,202.26 / $6,309.57
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $794.33 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $5,128.61