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Utah rates for HCPCS 41823

Exc Oss Tuberosities Dentoalveolar Struxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.98 / $2,744.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.49 / $508.27 / $1,525.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.38 / $535.59 / $876.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.82 / $381.82 / $509.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.47 / $686.39 / $834.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.94 / $580.05 / $959.63