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Utah rates for HCPCS 40654

Rpr Lip Fth Over One-Half Vert Height/Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.99 / $3,294.00 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.76 / $568.85 / $1,695.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.16 / $635.36 / $864.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $384.31 / $530.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,237.82 / $2,891.57 / $4,213.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.21 / $771.96 / $1,035.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $4,455.00 / $4,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.25 / $595.08 / $890.58