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Utah rates for HCPCS 28112

Ostectomy, complete excision; other metatarsal head (second, third or fourth)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $489.78 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $512.86 / $870.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $549.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,495.41 / $12,589.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $691.83 / $1,174.90
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $616.60 / $977.24
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $645.65 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $436.52 / $707.95