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Utah rates for HCPCS 28400

Closed Tx Calcaneal Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.51 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$230.63 / $230.63 / $250.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.41 / $265.99 / $1,113.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.81 / $318.05 / $510.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.98 / $169.75 / $229.06
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.97 / $447.13 / $651.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.13 / $384.76 / $570.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.70 / $263.44 / $418.32