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Utah rates for HCPCS 25530

Closed Tx Ulnar Shaft Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.68 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$234.51 / $234.51 / $258.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.69 / $312.68 / $1,214.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.25 / $332.77 / $531.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.68 / $185.41 / $254.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.97 / $447.13 / $651.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.89 / $417.26 / $596.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.20 / $285.75 / $453.75