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Utah rates for HCPCS 28456

Prq Skel Fixj Tarsl Fx Xcp Talus&Calcns W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.00 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.31 / $417.00 / $1,813.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.06 / $446.01 / $808.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.81 / $190.44 / $369.91
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
$496.07 / $589.48 / $759.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $4,912.00 / $14,287.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.45 / $370.12 / $559.25