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Utah rates for HCPCS 26775

Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $512.86 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $467.74 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $478.63 / $851.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $794.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $467.74 / $1,023.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $660.69 / $891.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $676.08 / $831.76
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $602.56 / $870.96
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
$309.03 / $389.05 / $588.84