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Utah rates for HCPCS 41823

Excision of osseous tuberosities, dentoalveolar structures

Facilitymedian $3,715 · 10th–90th $550–$6,4570%10%10th90th$3,715Professionalmedian $513 · 10th–90th $347–$1,0470%10%10th90th$513$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $3,388.44 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $489.78 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $524.81 / $870.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $389.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $11,481.54 / $17,782.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $676.08 / $870.96
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $724.44 / $1,000.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $691.83 / $1,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $5,128.61 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $467.74 / $794.33