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Utah rates for HCPCS 25125

Exc/Curtg Cyst/Tumor Radius/Ulna W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.94 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.70 / $868.94 / $3,117.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.72 / $864.63 / $1,308.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $346.84 / $570.75
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
$793.28 / $953.13 / $1,406.64
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
$513.29 / $633.07 / $1,008.69