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Utah rates for HCPCS 28208

Repair Tendon Extensor Foot 1/2 Each Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.95 / $4,200.56 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.08 / $457.23 / $1,681.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.43 / $517.61 / $949.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $269.96 / $460.35
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
$424.27 / $686.80 / $1,095.36
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
$403.11 / $486.51 / $811.87