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Utah rates for HCPCS 25830

Arthrd Dstl Rad/Uln Jt Sgmtl Rscj Ulna W/Wo Bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.46 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.49 / $1,324.46 / $5,186.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.62 / $1,356.83 / $2,117.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.08 / $622.25 / $955.38
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
$1,358.54 / $1,618.70 / $2,221.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.19 / $1,039.24 / $1,674.61