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Utah rates for HCPCS 25391

Osteoplasty Radius/Ulna Lengthening W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.17 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.22 / $1,448.17 / $5,208.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.17 / $1,452.78 / $2,810.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.71 / $568.80 / $916.05
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
$1,311.54 / $1,565.34 / $2,363.48
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
$863.70 / $1,065.23 / $1,712.34