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Utah rates for HCPCS 25909

Amp Forearm Thru Radius&Ulna Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.46 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.41 / $991.46 / $3,591.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.38 / $995.22 / $1,460.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $411.35 / $652.62
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
$908.15 / $1,129.23 / $1,619.10
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
$593.39 / $724.83 / $1,157.97