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Utah rates for HCPCS 25170

Radical Resection Tumor Radius Or Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,004.54 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.79 / $2,004.54 / $7,678.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.01 / $2,023.64 / $4,154.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $856.47 / $1,400.95
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
$1,920.75 / $2,293.88 / $3,530.59
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
$1,197.55 / $1,490.66 / $2,512.82