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Utah rates for HCPCS 25251

Removal of wrist prosthesis; complicated, including total wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.02 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.86 / $1,008.02 / $3,770.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.70 / $992.74 / $1,615.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $436.24 / $684.96
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
$953.85 / $1,135.96 / $1,660.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.00 / $4,912.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.10 / $766.14 / $1,214.45