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Utah rates for HCPCS 25375

Mlt Osteotomies W/Relignmt Imed Rod Radius&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,299.66 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.88 / $1,299.66 / $4,989.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.08 / $1,312.09 / $2,024.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.71 / $550.40 / $906.41
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
$1,257.15 / $1,577.32 / $2,258.55
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
$845.74 / $1,047.65 / $1,654.20