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Utah rates for HCPCS 25000

Incision Extensor Tendon Sheath Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.02 / $3,977.00 / $7,433.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.87 / $474.02 / $1,708.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.47 / $475.36 / $761.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $212.00 / $369.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.17 / $3,047.35 / $4,440.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.74 / $550.72 / $776.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.20 / $360.38 / $574.66