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Utah rates for HCPCS 28113

Ostectomy Complete 5th Metatarsal Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.75 / $3,294.00 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.24 / $598.75 / $2,197.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.32 / $675.41 / $1,078.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.16 / $331.13 / $555.06
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
$565.02 / $849.03 / $1,373.57
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
$496.85 / $613.76 / $972.91