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Utah rates for HCPCS D0470

Diagnostic Casts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $32.36 / $48.98
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
$52.48 / $53.70 / $53.70
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $37.15 / $40.74