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Utah rates for HCPCS 24900

Amputation Arm Thru Humerus W/Primary Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.45 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.50 / $1,020.45 / $3,867.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.69 / $1,016.30 / $1,616.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $461.47 / $715.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,947.45 / $24,875.82 / $35,712.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.78 / $1,208.05 / $1,711.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.00 / $778.16 / $1,241.30