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Utah rates for HCPCS 28475

Closed treatment of metatarsal fracture; with manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $281.84 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $323.59 / $562.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $436.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $398.11 / $870.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $436.52 / $575.44
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $436.52 / $524.81
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $389.05 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $263.03 / $407.38