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Utah rates for HCPCS 42330

Sialot Submndblr Sublngl/Prtd Uncomp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.83 / $2,833.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.31 / $223.92 / $681.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.09 / $272.62 / $433.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.22 / $179.97 / $224.35
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
$239.30 / $315.57 / $442.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $4,455.00 / $4,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.53 / $271.83 / $491.91