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Utah rates for HCPCS 26500

Rcnstj Tendon Pulley Each W/Local Tissues Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.22 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.51 / $675.76 / $3,391.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.23 / $867.28 / $1,673.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $408.63 / $616.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,361.94 / $13,564.50 / $19,767.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.64 / $1,056.40 / $1,409.96
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
$558.62 / $697.37 / $1,129.46