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Utah rates for HCPCS 28103

Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.71 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.37 / $440.66 / $2,078.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.84 / $571.62 / $1,092.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.87 / $241.73 / $407.40
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
$508.69 / $601.97 / $918.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.60 / $418.38 / $651.91