go back

Indiana rates for HCPCS 28113

Ostectomy Complete 5th Metatarsal Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.08 / $897.27 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.25 / $514.87 / $738.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.55 / $424.55 / $516.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.00 / $6,474.00 / $13,758.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.73 / $453.09 / $643.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.15 / $556.25 / $834.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.92 / $663.66 / $955.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,508.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.32 / $598.09 / $943.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.77 / $620.47 / $1,120.99