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Utah rates for HCPCS 25915

Krukenberg Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,602.97 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.29 / $1,602.97 / $6,095.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.79 / $1,557.94 / $2,471.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.06 / $667.56 / $1,093.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,147.96 / $12,655.20 / $18,168.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.30 / $1,831.78 / $2,395.55
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
$979.92 / $1,232.40 / $1,954.19