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Utah rates for HCPCS 25316

Flexor Origin Slide F/Arm&/Wrst Tendon Transfe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.41 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.24 / $1,276.41 / $4,787.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.39 / $1,280.49 / $2,581.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.71 / $547.58 / $856.77
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
$1,209.29 / $1,441.91 / $2,164.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.90 / $1,004.34 / $1,547.92