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Utah rates for HCPCS 25690

Closed Tx Lunate Dislocation W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.58 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.79 / $654.58 / $2,564.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.82 / $676.49 / $1,059.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $318.68 / $465.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.17 / $3,047.35 / $4,440.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.30 / $783.98 / $1,123.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.86 / $531.97 / $838.15