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Utah rates for HCPCS 25635

Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); with manipulation, each bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $537.03 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $562.34 / $977.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $660.69
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
$575.44 / $794.33 / $1,047.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $794.33 / $1,000.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $707.95 / $954.99
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
$354.81 / $446.68 / $676.08