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Utah rates for HCPCS 28750

Arthrodesis Great Toe Metatarsophalangeal Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.48 / $6,729.00 / $13,366.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.00 / $849.92 / $3,084.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.25 / $934.65 / $1,440.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $468.23 / $740.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,361.94 / $13,564.50 / $19,767.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.47 / $1,133.32 / $1,833.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.70 / $840.40 / $1,333.42