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Utah rates for HCPCS 28112

Ostectomy Complete Other Metatarsal Head 2/3/4

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.04 / $3,977.00 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.68 / $446.49 / $1,660.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.22 / $522.57 / $870.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $269.96 / $459.86
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
$412.96 / $691.34 / $1,132.50
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
$422.10 / $505.29 / $803.48