go back

Idaho rates for HCPCS 28112

Ostectomy Complete Other Metatarsal Head 2/3/4

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.78 / $1,176.68 / $4,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.29 / $504.64 / $988.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.78 / $1,895.78 / $1,901.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.89 / $551.60 / $848.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.55 / $657.07 / $1,048.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.83 / $769.63 / $932.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $666.61 / $838.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,515.72 / $7,849.65 / $9,927.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.63 / $742.38 / $997.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.66 / $731.64 / $1,041.18