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Utah rates for HCPCS 24160

Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,715.35 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,288.25 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,479.11 / $2,754.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,570.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,495.41 / $12,589.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,454.71 / $3,548.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $2,089.30 / $3,019.95
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,995.26 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,202.26 / $2,041.74