go back

Utah rates for HCPCS 28200

Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $5,495.41 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $489.78 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $512.86 / $977.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $616.60
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
$446.68 / $724.44 / $1,318.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $630.96 / $954.99
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $691.83 / $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
$295.12 / $446.68 / $707.95