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Utah rates for HCPCS 26750

Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.38 / $243.18 / $4,387.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$180.29 / $180.29 / $182.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.16 / $196.07 / $783.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.52 / $245.48 / $410.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.98 / $120.45 / $190.84
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
$258.05 / $295.20 / $419.71
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
$157.79 / $197.39 / $319.20