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Utah rates for HCPCS D0460

Pulp Vitality Tests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $18.20 / $25.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $79.43
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $24.55 / $24.55
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.44 / $26.30