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Utah rates for HCPCS 28515

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.36 / $2,870.00 / $4,387.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$145.02 / $145.02 / $160.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.68 / $171.05 / $761.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.82 / $202.87 / $320.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $101.70 / $156.39
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
$193.64 / $252.51 / $372.80
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
$139.19 / $169.77 / $275.52