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Utah rates for HCPCS 25115

Rad Exc Bursa Synva Wrst/F/Arm Tdn Shths Flxrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,099.34 / $4,387.00 / $8,344.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.17 / $3,047.35 / $4,440.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00