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Utah rates for HCPCS 40510

Exc Lip Transvrs Wedge Exc W/Prim Clsr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.01 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.48 / $475.01 / $1,434.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.42 / $562.60 / $769.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.82 / $350.25 / $471.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.95 / $643.59 / $885.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.34 / $502.92 / $753.49