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Utah rates for HCPCS 40819

Exc Frenum Labial/Buccal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.76 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.89 / $319.75 / $580.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.89 / $347.08 / $497.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.80 / $183.52 / $252.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,237.82 / $2,891.57 / $4,213.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.58 / $444.34 / $576.03
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
$265.98 / $321.30 / $580.32