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Utah rates for HCPCS 28005

Incision Bone Cortex Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.49 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.98 / $790.25 / $2,528.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.79 / $838.30 / $1,247.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $356.82 / $532.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,684.92 / $6,137.22 / $8,943.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.76 / $952.25 / $1,363.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.20 / $632.32 / $1,004.06