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Utah rates for HCPCS 25000

Incision, extensor tendon sheath, wrist (eg, de Quervains disease)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $4,073.80 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $478.63 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $457.09 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $707.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,691.53 / $6,025.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $630.96 / $812.83
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $676.08 / $1,071.52
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $575.44 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $363.08 / $575.44