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Utah rates for HCPCS 25272

Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $5,888.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $776.25 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $776.25 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $426.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,495.41 / $12,589.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,071.52 / $1,348.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,047.13 / $1,348.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $870.96 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $954.99