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Pennsylvania rates for HCPCS 28112

Ostectomy, complete excision; other metatarsal head (second, third or fourth)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.83 / $3,519.18 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.33 / $430.92 / $743.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.08 / $308.08 / $308.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.89 / $487.62 / $883.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.53 / $535.53 / $535.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.24 / $477.85 / $828.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.48 / $746.05 / $968.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,771.02 / $6,281.80 / $11,938.27
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.54 / $317.06 / $483.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.00 / $3,745.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.56 / $462.61 / $1,033.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.20 / $578.20 / $1,073.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.53 / $535.53 / $535.53
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.27 / $487.60 / $865.45
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.98 / $441.63 / $490.82
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.69 / $456.08 / $497.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.65 / $584.09 / $955.97