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Utah rates for HCPCS 40830

Closure of laceration, vestibule of mouth; 2.5 cm or less

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $234.42 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $275.42 / $467.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $380.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $346.74 / $501.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $281.84 / $645.65
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $288.40 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $251.19 / $467.74