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Utah rates for HCPCS 21031

Excision Torus Mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.09 / $401.84 / $1,502.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.17 / $441.97 / $704.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.37 / $208.58 / $338.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.82 / $556.99 / $912.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.60 / $411.45 / $670.99