go back

Utah rates for HCPCS 25600

Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.99 / $2,639.57 / $4,312.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$266.99 / $292.87 / $809.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.69 / $368.81 / $1,395.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$697.02 / $820.03 / $952.62
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$227.72 / $266.99 / $1,264.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.14 / $418.35 / $649.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $201.06 / $336.40
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
$442.98 / $530.54 / $745.93
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
$275.14 / $342.36 / $557.40