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Utah rates for HCPCS 40761

Plstc Rpr Cl Lip/Nsl Dfrm W/Cross Lip Pedcl Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,467.39 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.81 / $1,141.68 / $3,114.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.82 / $1,352.94 / $2,004.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.32 / $716.44 / $1,030.30
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
$1,386.26 / $1,563.16 / $2,134.40
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
$912.35 / $1,102.95 / $1,621.99