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Utah rates for HCPCS 28430

Closed treatment of talus fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.08 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$210.81 / $210.81 / $236.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.25 / $281.08 / $1,047.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.29 / $298.37 / $470.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $158.65 / $221.89
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
$285.02 / $374.35 / $543.84
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
$202.50 / $251.23 / $397.29