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Utah rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.17 / $480.19 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.00 / $434.98 / $1,354.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.70 / $468.99 / $778.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $343.03 / $478.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.21 / $557.83 / $730.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.18 / $499.98 / $846.12