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Utah rates for HCPCS 27517

Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $954.99 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $912.01 / $1,513.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,202.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,691.53 / $6,025.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,318.26 / $1,737.80
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,288.25 / $1,659.59
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,122.02 / $1,621.81
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
$575.44 / $707.95 / $1,096.48