go back

Utah rates for HCPCS 25393

Osteoplasty Radius&Ulna Lengthening W/Autograf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.09 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.10 / $1,679.09 / $5,898.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.55 / $1,627.58 / $2,524.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.06 / $642.98 / $1,053.40
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
$1,483.86 / $1,770.88 / $2,647.86
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
$969.18 / $1,203.60 / $1,926.36