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Utah rates for HCPCS 28605

Closed Tx Tarsometatarsal Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.52 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.38 / $355.52 / $1,585.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.70 / $414.42 / $650.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $201.06 / $334.71
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
$413.40 / $527.01 / $755.07
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
$274.04 / $344.88 / $555.64