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Utah rates for HCPCS 25119

Synvct Xtnsr Tdn Shth Wrst 1 Rescj Dstl Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.35 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.21 / $701.35 / $2,620.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.88 / $700.26 / $1,104.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $301.83 / $463.88
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
$670.56 / $805.95 / $1,166.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.02 / $543.02 / $852.69