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Utah rates for HCPCS 25565

Closed treatment of radial and ulnar shaft fractures; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $776.25 / $4,466.84
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,348.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,691.53 / $6,025.60
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61