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Utah rates for HCPCS 42225

Palatop Cl Palate Attachment Pharyngeal Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,213.06 / $4,312.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.87 / $1,213.06 / $2,852.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.04 / $1,262.90 / $2,045.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.72 / $720.22 / $960.30
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
$1,282.82 / $1,525.14 / $1,863.09
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
$847.20 / $1,092.88 / $1,863.84