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Utah rates for HCPCS 28113

Ostectomy, complete excision; fifth metatarsal head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $602.56 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $630.96 / $1,174.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $812.83
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
$575.44 / $870.96 / $1,412.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $831.76 / $1,202.26
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $794.33 / $1,148.15
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
$389.05 / $549.54 / $851.14