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Utah rates for HCPCS 25905

Amp Forearm Thru Radius & Ulna Open Circular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.88 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.29 / $1,012.88 / $3,675.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.97 / $1,019.20 / $1,496.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $436.24 / $684.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,947.45 / $24,875.82 / $35,712.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.35 / $1,107.71 / $1,658.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.08 / $747.27 / $1,188.19