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Utah rates for HCPCS 24930

Amputation Arm Thru Humerus Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.24 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.22 / $1,076.24 / $4,052.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.33 / $1,068.30 / $1,690.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $461.84 / $745.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,147.96 / $12,655.20 / $18,168.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.17 / $1,271.90 / $1,835.53
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
$670.79 / $807.71 / $1,296.86