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Utah rates for HCPCS 25315

Flexor Origin Slide Forearm &/Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.91 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.88 / $1,127.91 / $4,032.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.02 / $1,122.08 / $1,728.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $436.24 / $725.43
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
$1,018.68 / $1,213.88 / $1,825.48
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
$667.19 / $822.32 / $1,312.16