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Utah rates for HCPCS 25355

Osteotomy Radius Middle/Proximal Third

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,119.48 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.91 / $1,119.48 / $4,007.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.37 / $1,113.76 / $1,674.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $448.39 / $745.48
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
$1,013.03 / $1,240.05 / $1,811.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.40 / $820.42 / $1,302.72