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Utah rates for HCPCS 28820

Amputation Toe Metatarsophalangeal Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.34 / $3,977.00 / $6,119.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.76 / $453.60 / $2,023.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.80 / $487.50 / $805.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.51 / $274.29 / $338.66
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
$230.63 / $429.83 / $1,239.97
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
$387.67 / $563.85 / $934.37