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Utah rates for HCPCS 40720

Plstc Rpr Cl Lip/Nsl Dfrm Sec Recrtj Dfct & Recl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,321.41 / $4,387.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.71 / $1,084.14 / $2,959.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.53 / $1,329.16 / $1,908.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $741.05 / $1,009.59
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
$1,317.57 / $1,489.18 / $2,019.91
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
$865.07 / $1,056.02 / $1,597.05