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Utah rates for HCPCS 41015

Xtroral I&D Absc Cst/Hmtma Floor Mouth Sublngl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.32 / $2,833.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.27 / $427.10 / $1,172.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.57 / $489.32 / $686.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $283.67 / $388.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.38 / $1,043.22 / $1,520.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.18 / $617.70 / $835.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.10 / $515.57 / $860.67