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Utah rates for HCPCS D7283

Plcmt Device Facilitate Eruption Impacted Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.91 / $70.91 / $70.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.91 / $73.12 / $185.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00