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Utah rates for HCPCS 28272

Capsulotomy Iphal Joint Each Joint Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.85 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.62 / $360.95 / $1,345.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.61 / $431.67 / $704.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.37 / $224.67 / $340.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.17 / $3,047.35 / $4,440.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.19 / $555.05 / $910.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $4,455.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.59 / $405.00 / $652.50