go back

Utah rates for HCPCS 28636

Prq Skel Fixj Metatarsophlngl Jt Dislc W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.04 / $3,294.00 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.21 / $298.47 / $1,052.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.73 / $332.42 / $573.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.82 / $258.83 / $350.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,684.92 / $6,137.22 / $8,943.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.89 / $466.92 / $758.94
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
$261.76 / $332.26 / $528.60