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Utah rates for HCPCS 40805

Rmvl Embedded Fb Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.39 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.87 / $418.61 / $579.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.87 / $367.59 / $524.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.80 / $201.09 / $285.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.38 / $1,043.22 / $1,520.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.20 / $438.26 / $686.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.17 / $372.84 / $626.00