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Utah rates for HCPCS 25630

Cltx Carpal Bone Fx W/O Manj Each Bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.49 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$280.87 / $280.87 / $307.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.86 / $374.49 / $1,315.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.33 / $393.41 / $628.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $176.63 / $301.88
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
$387.72 / $488.28 / $698.17
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
$266.22 / $363.11 / $533.39