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Utah rates for HCPCS 24565

Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $3,162.28 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $660.69 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $1,174.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $933.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,691.53 / $6,025.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,258.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $912.01 / $1,174.90
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $537.03 / $831.76