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Utah rates for HCPCS 28515

Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $194.98 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $194.98 / $354.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $269.15
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
$194.98 / $275.42 / $380.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $275.42 / $323.59
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $245.47 / $338.84
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
$125.89 / $158.49 / $239.88