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Utah rates for HCPCS 42665

Ligation Salivary Duct Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.77 / $3,294.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.59 / $357.23 / $1,099.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.39 / $360.29 / $631.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.65 / $256.18 / $355.81
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
$302.17 / $452.95 / $597.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.05 / $395.12 / $728.60