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Utah rates for HCPCS 25931

Transmetacarpal Amputation Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.76 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.60 / $967.76 / $4,076.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.51 / $1,005.69 / $1,665.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $460.23 / $725.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,684.92 / $6,137.22 / $8,943.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.24 / $1,268.80 / $1,729.66
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
$641.48 / $807.22 / $1,282.96