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Utah rates for HCPCS 41005

Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $208.93 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $251.19 / $436.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $288.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $269.15 / $457.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $251.19 / $446.68
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $281.84 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $194.98 / $338.84