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Utah rates for HCPCS 26770

Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $660.69 / $4,570.88
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$660.69 / $660.69 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $338.84 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $346.74 / $602.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $478.63
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
$363.08 / $489.78 / $645.65
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $501.19 / $616.60
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $616.60
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
$223.87 / $281.84 / $436.52