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Utah rates for HCPCS 28540

Cltx Tarsal Dislc Oth/Thn Talotarsal W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.43 / $2,870.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.78 / $251.43 / $936.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.09 / $256.17 / $393.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.98 / $141.81 / $194.07
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
$236.29 / $300.93 / $442.08
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
$167.10 / $211.46 / $328.63