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Utah rates for HCPCS 25025

Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr Dbrdmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,712.52 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.20 / $1,712.52 / $6,284.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.24 / $1,685.10 / $2,670.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $710.45 / $1,158.71
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
$1,611.79 / $1,997.42 / $2,919.01
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
$1,048.02 / $1,390.80 / $2,051.44