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Utah rates for HCPCS 41822

Exc Fibrous Tuberosities Dentoalveolar Struxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.07 / $2,833.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.17 / $334.84 / $1,024.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.01 / $344.21 / $589.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $240.91 / $323.46
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
$277.13 / $396.29 / $568.67
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
$284.24 / $385.32 / $711.37