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Utah rates for HCPCS 28225

Tenolysis Extensor Foot Single Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.34 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.82 / $391.53 / $1,404.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.06 / $440.07 / $702.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $116.44 / $373.92
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
$349.86 / $578.96 / $907.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $4,912.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.14 / $433.80 / $698.90