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Utah rates for HCPCS D6930

Re-Cement Or Re-Bond Fixed Partial Denture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $44.67 / $53.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $70.79
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $64.57 / $64.57
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $60.26 / $67.61