go back

Utah rates for HCPCS 41250

Rpr Lac 2.5 Cm/< Mouth&/Ant Two-Thirds Tong

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