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Utah rates for HCPCS 25685

Open Tx Trans-Scaphoperilunar Fracture Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.50 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.37 / $747.61 / $3,852.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.13 / $1,026.43 / $1,610.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $438.29 / $685.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,361.94 / $13,564.50 / $19,767.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.30 / $1,207.59 / $1,740.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.60 / $763.92 / $1,251.98