go back

Utah rates for HCPCS 40899

Unlisted Procedure Vestibule Mouth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $5,743.00 / $9,403.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.92 / $456.92 / $8,194.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.99 / $463.13 / $674.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00