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Utah rates for HCPCS 28086

Synovectomy Tendon Sheath Foot Flexor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.96 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.17 / $509.53 / $1,823.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.88 / $594.54 / $964.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $298.78 / $490.50
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
$470.78 / $761.51 / $1,272.95
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
$464.40 / $557.28 / $886.79