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Utah rates for HCPCS 28052

Arthrotomy with biopsy; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $3,388.44 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $407.38 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $446.68 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $549.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,495.41 / $12,589.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $562.34 / $1,023.29
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $501.19 / $870.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $524.81 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $398.11 / $630.96