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Utah rates for HCPCS 41850

Destruction Lesion Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.94 / $2,922.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.71 / $140.87 / $246.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.11 / $179.73 / $316.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $99.78 / $303.25
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
$160.57 / $202.33 / $261.20
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
$108.81 / $147.41 / $231.65