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Utah rates for HCPCS 25609

Optx Dstl Radl I-Artic Fx/Epiphysl Sep 3 Frag

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.47 / $5,743.00 / $21,117.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,361.94 / $13,564.50 / $19,767.36
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$15,542.91 / $20,346.75 / $29,651.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00