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Utah rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $190.55 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $199.53 / $323.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $229.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,691.53 / $6,025.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $263.03 / $407.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $257.04 / $354.81
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $234.42 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $165.96 / $251.19