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Utah rates for HCPCS 25085

Capsulotomy Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.34 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.71 / $516.48 / $2,367.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.43 / $638.39 / $1,250.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $274.34 / $433.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,684.92 / $6,137.22 / $8,943.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.63 / $711.28 / $1,057.16
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
$389.90 / $478.41 / $760.44