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Utah rates for HCPCS 25922

Disarticulation Thru Wrist Sec Closure/Scar Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.27 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.77 / $719.27 / $3,313.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.76 / $830.92 / $1,373.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $371.15 / $628.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.17 / $3,047.35 / $4,440.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.68 / $1,024.56 / $1,434.97
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
$494.67 / $656.28 / $1,093.34