go back

Utah rates for HCPCS 40831

Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.36 / $323.37 / $605.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.39 / $370.81 / $564.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.54 / $204.94 / $286.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.55 / $427.90 / $615.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.05 / $385.91 / $732.96