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Utah rates for HCPCS 25492

Proph Tx N/P/Pltwr W/Wo Methylmecrylate Rad&Ul

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,311.15 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.64 / $1,311.15 / $4,738.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.13 / $1,250.17 / $1,980.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.71 / $547.58 / $856.77
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
$1,197.09 / $1,495.28 / $2,140.61
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
$778.38 / $962.00 / $1,577.89