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Utah rates for HCPCS 28495

Cltx Fx Grt Toe Phlx/Phlg W/Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.56 / $205.39 / $792.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.81 / $217.29 / $340.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.98 / $120.45 / $190.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.04 / $276.45 / $392.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.47 / $183.60 / $295.80