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Utah rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.11 / $3,064.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.06 / $352.39 / $614.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.74 / $426.05 / $640.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $249.83 / $758.94
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
$402.52 / $505.16 / $670.13
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
$271.87 / $350.80 / $578.83