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Utah rates for HCPCS 25680

Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.66 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.44 / $638.66 / $2,765.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.78 / $669.62 / $1,171.76
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
$340.97 / $447.13 / $651.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.34 / $845.17 / $1,091.06
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
$435.94 / $544.91 / $903.57