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Utah rates for HCPCS 42650

Dilation Salivary Duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.08 / $2,833.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.81 / $78.64 / $168.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.34 / $96.51 / $149.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.35 / $61.01 / $75.03
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
$83.22 / $108.79 / $152.59
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
$69.75 / $100.80 / $149.28