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Utah rates for HCPCS 25455

Epiphysl Arrst Epiphysiod/Stapling Dstl Rds&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.26 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.13 / $870.26 / $3,818.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.21 / $906.68 / $1,557.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $448.39 / $714.43
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
$969.08 / $1,135.02 / $1,531.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.00 / $6,489.22 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.98 / $741.31 / $1,154.99