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Utah rates for HCPCS 28446

Open Osteochondral Autograft Talus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,712.72 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.39 / $1,712.72 / $6,391.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.36 / $1,686.57 / $2,593.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $709.28 / $1,169.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,361.94 / $13,564.50 / $19,767.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.18 / $2,010.24 / $2,914.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.32 / $1,307.58 / $2,052.04