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Utah rates for HCPCS 26121

Fasct Palm W/Wo Z-Plasty Tissue Reargmt/Skn Grft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.67 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.24 / $626.82 / $3,151.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.70 / $829.58 / $1,315.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $346.84 / $557.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,684.92 / $6,137.22 / $8,943.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.63 / $976.34 / $1,395.28
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
$513.30 / $620.28 / $1,015.39