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Utah rates for HCPCS 40810

Exc Les Mucosa & Sbmcsl Vestibule Mouth W/O Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.17 / $2,922.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.63 / $203.70 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.94 / $229.13 / $384.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.35 / $155.52 / $202.06
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
$178.90 / $278.95 / $376.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.29 / $238.81 / $432.72