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Utah rates for HCPCS 25077

Rad Resect Tumor Soft Tiss Forearm&/Wrist <3 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,243.43 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.37 / $1,243.43 / $4,631.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.15 / $1,221.23 / $2,396.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.71 / $499.70 / $812.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,952.73 / $5,387.63 / $7,851.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.65 / $1,391.70 / $2,098.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.86 / $923.40 / $1,487.87