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Utah rates for HCPCS 28810

Amputation Metatarsal W/Toe Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.33 / $3,038.00 / $4,707.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$315.17 / $315.17 / $315.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.56 / $449.31 / $1,767.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.07 / $631.30 / $920.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.47 / $297.62 / $415.45
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
$554.38 / $720.00 / $1,027.04
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
$371.10 / $457.69 / $728.28