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Utah rates for HCPCS 26775

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

Facilitymedian $525 · 10th–90th $457–$4,5710%20%10th90th$525Professionalmedian $479 · 10th–90th $331–$1,3180%10%10th90th$479$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $512.86 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $467.74 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $478.63 / $660.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $794.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $524.81 / $794.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $616.60 / $891.25
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $676.08 / $870.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $588.84 / $851.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $380.19 / $616.60