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Utah rates for HCPCS 82735

Fluoride

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $125.89 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $16.22 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $20.89 / $35.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $67.61 / $97.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $15.85 / $16.60
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $18.62 / $58.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $18.62 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $9.33 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $10.96 / $25.70