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Utah rates for HCPCS 24920

Amputation Arm Thru Humerus Open Circular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,015.10 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.83 / $1,015.10 / $3,837.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.62 / $1,006.16 / $1,603.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $436.24 / $685.42
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
$969.95 / $1,206.71 / $1,733.86
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
$621.00 / $761.41 / $1,236.26