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Utah rates for HCPCS 28153

Resection Condyle Distal End Phalanx Each Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.55 / $3,977.00 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.38 / $383.17 / $1,416.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.69 / $443.07 / $736.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.37 / $216.51 / $365.64
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
$349.42 / $581.53 / $948.66
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
$345.68 / $424.66 / $673.76