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Utah rates for HCPCS 28054

Arthrotomy with biopsy; interphalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $3,548.13 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $380.19 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $398.11 / $660.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $426.58
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
$316.23 / $524.81 / $891.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $457.09 / $758.58
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $489.78 / $724.44
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
$218.78 / $338.84 / $537.03