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Utah rates for HCPCS 25126

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.42 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.66 / $872.42 / $3,140.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.26 / $863.62 / $1,317.93
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
$4,684.92 / $6,137.22 / $8,943.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.94 / $975.03 / $1,404.99
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
$517.19 / $641.72 / $1,017.15