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Utah rates for HCPCS 25135

Exc/Curtg Cyst/Tumor Carpal Bones W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.10 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.88 / $782.10 / $2,939.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.53 / $774.76 / $1,201.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $345.60 / $526.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,361.94 / $13,564.50 / $19,767.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.89 / $906.32 / $1,311.12
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
$483.59 / $586.45 / $949.41