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Utah rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.67 / $2,744.00 / $4,626.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.07 / $755.46 / $1,100.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00