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Utah rates for HCPCS D7321

Alveoloplsty Not Cnjnc Xtrct 1-3 Teeth/Spce Quad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.34 / $129.34 / $129.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.34 / $129.34 / $228.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $168.53