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Michigan rates for HCPCS 28113

Ostectomy, complete excision; fifth metatarsal head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $4,073.80 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $562.34 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $645.65 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $933.25 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $588.84 / $1,047.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $630.96 / $1,000.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $549.54 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,786.30 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $794.33