go back

Utah rates for HCPCS 28665

Cltx Interphalangeal Joint Dislocation Req Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.97 / $164.64 / $686.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.58 / $194.91 / $284.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.82 / $122.33 / $150.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.09 / $231.69 / $359.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.30 / $161.13 / $249.38