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Utah rates for HCPCS 40652

Repair Lip Full Thickness <Half Vertical Height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.73 / $3,294.00 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.19 / $468.73 / $1,497.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.07 / $564.51 / $812.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.98 / $380.63 / $516.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.38 / $1,043.22 / $1,520.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.93 / $675.74 / $894.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.79 / $524.74 / $843.31