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Utah rates for HCPCS 28530

Closed Treatment Sesamoid Fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.92 / $117.83 / $539.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.87 / $144.81 / $230.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.23 / $68.55 / $100.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.51 / $175.03 / $264.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.00 / $118.80 / $191.41