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Utah rates for HCPCS 25136

Exc/Curtg Cyst/Tumor Carpal Bones W/Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.55 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.49 / $526.04 / $2,609.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.37 / $687.48 / $1,095.34
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
$10,361.94 / $13,564.50 / $19,767.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.91 / $801.05 / $1,156.29
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
$428.06 / $514.79 / $843.70