go back

Utah rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.97 / $4,312.00 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.06 / $634.23 / $1,427.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.41 / $757.94 / $1,208.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $401.64 / $588.47
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
$643.26 / $949.59 / $1,519.81
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
$538.38 / $686.46 / $1,081.94