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Utah rates for HCPCS 25660

Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $562.34 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $549.54 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $707.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $398.11 / $870.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $776.25 / $977.24
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $812.83 / $1,000.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $741.31 / $1,071.52
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
$346.74 / $426.58 / $660.69