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Pennsylvania rates for HCPCS 28113

Ostectomy Complete 5th Metatarsal Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.25 / $2,747.00 / $7,175.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.12 / $520.85 / $895.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.11 / $516.52 / $730.17
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
$573.70 / $595.35 / $1,068.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.27 / $729.27 / $729.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.80 / $593.13 / $1,036.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.87 / $905.97 / $1,177.77
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.31 / $4,956.54 / $13,511.21
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.85 / $431.99 / $478.91
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $3,519.18 / $7,799.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.32 / $595.22 / $1,794.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.90 / $570.90 / $1,281.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.27 / $729.27 / $729.27
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.22 / $600.29 / $1,048.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.18 / $441.78 / $563.46
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.04 / $503.78 / $602.14
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
$516.79 / $707.36 / $1,185.97