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Utah rates for HCPCS 28102

Exc/Curtg Cst/B9 Tum Talus/Clcns W/Iliac/Agrft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.85 / $4,312.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.23 / $781.85 / $3,193.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.49 / $829.82 / $1,694.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $346.84 / $570.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,361.94 / $13,564.50 / $19,767.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.56 / $965.46 / $1,430.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,680.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.58 / $626.40 / $1,032.17