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Utah rates for HCPCS 28345

Rcnstj Toe Syndactyly W/Wo Skin Graft Each Web

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.62 / $4,312.00 / $12,517.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.70 / $537.62 / $1,942.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.13 / $610.38 / $1,073.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.16 / $291.11 / $493.86
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
$476.06 / $744.11 / $1,210.20
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
$449.70 / $552.24 / $869.41