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Utah rates for HCPCS 40818

Excision of mucosa of vestibule of mouth as donor graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $3,388.44 / $8,317.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $870.96 / $1,949.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $489.78 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61