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Utah rates for HCPCS 42665

Ligation salivary duct, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $4,570.88 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $346.74 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $363.08 / $630.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $467.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $5,370.32 / $12,022.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $457.09 / $660.69
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $416.87 / $707.95
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $478.63 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $309.03 / $524.81