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Utah rates for HCPCS 42810

Exc Branchial Cleft Cyst Confined Skn&Subq Tis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.25 / $3,038.00 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.25 / $398.48 / $1,107.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.65 / $450.56 / $722.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $277.19 / $378.45
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
$415.74 / $552.08 / $737.75
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
$339.29 / $440.00 / $726.01