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Utah rates for HCPCS 24900

Amputation, arm through humerus; with primary closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,023.29 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $1,621.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,288.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $23,442.29 / $52,480.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,412.54 / $1,862.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,412.54 / $1,778.28
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,230.27 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $5,128.61 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $1,174.90