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Utah rates for HCPCS 26525

Capsulectomy/Capsulotomy Iphal Joint Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.29 / $4,387.00 / $8,133.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.17 / $3,047.35 / $4,440.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00