go back

Utah rates for HCPCS 41805

Rmvl Embedded Fb From Dentalvlr Struxs Soft Tiss

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.70 / $2,833.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.55 / $291.17 / $914.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.49 / $314.25 / $534.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $209.54 / $290.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,237.82 / $2,891.57 / $4,213.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.00 / $369.18 / $491.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.80 / $331.75 / $557.70