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Utah rates for HCPCS 21031

Excision of torus mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $407.38 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $426.58 / $794.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $575.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $575.44 / $870.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $524.81 / $724.44
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $524.81 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $363.08 / $562.34