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Utah rates for HCPCS 40844

Vestibuloplasty Entire Arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,559.12 / $3,294.00 / $8,194.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.12 / $1,847.19 / $3,398.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.99 / $1,750.35 / $2,787.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.21 / $1,005.18 / $1,433.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,683.63 / $2,016.85 / $2,571.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.27 / $1,976.69 / $3,185.96