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Utah rates for HCPCS 25491

Proph Tx N/P/Pltwr W/Wo Methylmethacrylate Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.29 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.06 / $1,082.29 / $3,870.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.94 / $1,075.43 / $1,619.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $438.29 / $685.42
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
$979.52 / $1,220.58 / $1,749.57
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
$639.60 / $810.16 / $1,292.77