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Utah rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,163.06 / $5,743.00 / $8,194.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.81 / $1,054.70 / $2,681.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.61 / $1,238.22 / $1,928.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $674.30 / $894.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.45 / $1,431.79 / $1,838.02
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
$834.05 / $1,199.44 / $1,962.72