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Utah rates for HCPCS 28576

Prq Skel Fixj Talotarsal Jt Dislc W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.87 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.81 / $524.87 / $2,040.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.13 / $530.46 / $856.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $248.11 / $399.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,361.94 / $13,564.50 / $19,767.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.44 / $637.14 / $926.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.88 / $401.04 / $646.12