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Utah rates for HCPCS 28122

Prtl Exc B1 Tarsal/Metar B1 Xcp Talus/Calcaneus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.75 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.43 / $702.75 / $2,378.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.20 / $735.07 / $1,095.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.32 / $346.69 / $556.19
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
$578.75 / $860.63 / $1,342.94
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
$517.61 / $637.50 / $995.86