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Utah rates for HCPCS D7241

Remv Imp Tooth - Cmpl Bony W/Unusual Surg Comps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.20 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.20 / $223.20 / $458.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $405.70