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Utah rates for HCPCS 28130

Talectomy Astragalectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.61 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.30 / $976.61 / $3,338.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.49 / $918.58 / $1,351.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $395.83 / $594.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,361.94 / $13,564.50 / $19,767.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.17 / $1,047.08 / $1,520.49
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
$558.61 / $691.98 / $1,074.39