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Utah rates for HCPCS 28107

Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $537.03 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $575.44 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $870.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $12,302.69 / $28,183.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $741.31 / $1,479.11
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $676.08 / $1,047.13
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $707.95 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $5,128.61 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $489.78 / $758.58