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Utah rates for HCPCS 25365

Osteotomy Radius & Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,327.01 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.18 / $1,327.01 / $4,791.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.47 / $1,331.94 / $2,002.16
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
$20,314.50 / $25,330.44 / $36,365.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.15 / $1,506.32 / $2,166.88
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
$793.50 / $1,005.10 / $1,543.23