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Utah rates for HCPCS 25927

Transmetacarpal Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.17 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.48 / $878.56 / $4,415.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.58 / $1,144.33 / $1,808.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.08 / $493.25 / $788.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,584.68 / $5,717.41 / $8,208.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.22 / $1,370.78 / $1,888.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.00 / $871.47 / $1,416.00