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Utah rates for HCPCS 28171

Rad Rescj Tumor Tarsal Except Talus/Calcaneus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.35 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.02 / $1,196.35 / $5,796.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.13 / $1,248.57 / $2,513.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.06 / $642.98 / $1,027.09
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
$1,452.53 / $1,613.92 / $2,224.78
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
$766.01 / $1,100.90 / $1,766.05