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Maryland rates for HCPCS 28113

Ostectomy Complete 5th Metatarsal Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,638.11 / $3,638.11 / $3,638.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.32 / $520.85 / $1,488.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.24 / $467.24 / $523.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.02 / $640.25 / $1,306.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.67 / $781.33 / $1,040.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.49 / $662.86 / $1,256.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.45 / $696.53 / $863.70