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Utah rates for HCPCS 62120

Repair of encephalocele, skull vault, including cranioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.69 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.69 / $2,426.69 / $4,849.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,098.21 / $2,837.94 / $5,949.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.24 / $1,299.44 / $1,947.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,498.68 / $3,887.42 / $6,500.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,758.28 / $2,756.37 / $4,498.47