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Utah rates for HCPCS 40700

Plstc Rpr Cl Lip/Nsl Dfrm Prim Prtl/Compl Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.20 / $5,332.58 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.00 / $1,064.73 / $3,722.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.00 / $1,273.96 / $1,875.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $725.43 / $977.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.53 / $1,464.52 / $1,903.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.85 / $1,039.63 / $1,487.43