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Utah rates for HCPCS 25001

Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $3,162.28 / $4,570.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,495.41 / $12,589.25
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46