go back

Missouri rates for HCPCS 28113

Ostectomy Complete 5th Metatarsal Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.01 / $2,507.00 / $7,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.25 / $514.87 / $742.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.29 / $236.29 / $375.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.00 / $487.34 / $802.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.42 / $660.33 / $1,149.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.99 / $713.77 / $3,006.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.09 / $882.23 / $4,369.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.08 / $740.21 / $1,203.23