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Utah rates for HCPCS 25920

Disarticulation Through Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.65 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.52 / $967.65 / $3,755.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.56 / $993.00 / $1,592.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $428.63 / $680.63
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
$966.47 / $1,155.31 / $1,639.68
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
$617.69 / $741.24 / $1,214.80