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Utah rates for HCPCS 24650

Closed Tx Radial Head/Neck Fx W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.62 / $2,833.00 / $4,387.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$237.47 / $237.47 / $259.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.43 / $316.62 / $1,170.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.98 / $336.83 / $530.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.98 / $180.62 / $253.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.97 / $447.13 / $651.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.81 / $416.50 / $594.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.90 / $274.91 / $443.09