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Utah rates for HCPCS 25426

Repair Defect W/Autograft Radius&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.91 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.26 / $1,584.91 / $5,866.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.53 / $1,593.42 / $2,444.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.06 / $642.98 / $1,027.09
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
$1,475.60 / $1,866.25 / $2,672.96
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
$974.10 / $1,233.84 / $1,915.73