go back

Utah rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.05 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.96 / $1,056.21 / $2,882.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.61 / $1,194.98 / $1,859.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $721.45 / $948.39
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
$1,283.67 / $1,451.47 / $1,910.56
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
$786.30 / $1,016.75 / $1,452.50