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Utah rates for HCPCS 28545

Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $338.84 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $354.81 / $660.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $489.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,495.41 / $12,589.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $501.19 / $691.83
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $524.81 / $616.60
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $467.74 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $288.40 / $446.68