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Utah rates for HCPCS 25605

Cltx Dstl Rdl Fx/Epiphysl Sep W/Manj When Perf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.13 / $686.26 / $4,387.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$604.70 / $1,337.94 / $1,508.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.10 / $806.27 / $2,520.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.04 / $753.76 / $1,139.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $320.52 / $495.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.17 / $3,047.35 / $4,440.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.41 / $865.57 / $1,262.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $1,649.00 / $2,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.50 / $603.16 / $946.26