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Utah rates for HCPCS D7321

Alveoloplasty Not In Conjunction With Extractions - One To Three Teeth Or Tooth Spaces, Per Quadrant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $190.55 / $223.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $154.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $138.04 / $138.04
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $309.03 / $338.84