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Utah rates for HCPCS 26055

Tendon Sheath Incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.28 / $2,589.10 / $4,744.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.93 / $572.40 / $2,091.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.94 / $587.47 / $992.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $329.93 / $546.65
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
$393.87 / $741.67 / $1,252.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.50 / $592.85 / $1,000.00