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Utah rates for HCPCS 25145

Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.31 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.56 / $759.31 / $2,730.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.73 / $745.38 / $1,146.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $329.32 / $497.94
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
$695.81 / $847.10 / $1,212.65
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
$452.43 / $568.48 / $884.00