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Utah rates for HCPCS 41850

Destruction of lesion (except excision), dentoalveolar structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $128.82 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $169.82 / $371.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $77.62 / $302.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,630.27 / $5,888.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $204.17 / $263.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $302.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $173.78 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $134.90 / $218.78