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Utah rates for HCPCS 28510

Cltx Fx Phlx/Phlg Oth/Thn Grt Toe W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.15 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$119.36 / $119.36 / $122.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.23 / $131.93 / $524.00
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$82.46 / $119.36 / $479.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.89 / $162.00 / $230.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.23 / $68.55 / $100.72
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
$163.18 / $191.94 / $284.27
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
$105.00 / $131.36 / $208.20