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Utah rates for HCPCS 28630

Cltx Metatarsophlngl Jt Dislc W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.34 / $153.49 / $652.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.26 / $178.43 / $257.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $117.29 / $161.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.59 / $228.70 / $351.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.83 / $166.13 / $282.72