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Utah rates for HCPCS 40801

Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $3,388.44 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $295.12 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $354.81 / $501.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $602.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $870.96 / $1,949.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $446.68 / $645.65
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $389.05 / $724.44
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $407.38 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $309.03 / $537.03