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Texas rates for HCPCS 28113

Ostectomy Complete 5th Metatarsal Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.00 / $3,102.00 / $10,234.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.24 / $538.72 / $878.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.25 / $676.23 / $739.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,189.96 / $4,232.37 / $8,173.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.25 / $541.45 / $786.65
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.30 / $1,263.33 / $4,050.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.96 / $2,397.53 / $2,397.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.27 / $729.27 / $729.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.48 / $663.18 / $1,027.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,028.88 / $11,500.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,178.56 / $4,247.43 / $4,891.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.56 / $583.62 / $932.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.45 / $740.99 / $1,022.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.02 / $846.74 / $1,654.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.74 / $592.72 / $954.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.36 / $689.54 / $1,113.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,326.00 / $7,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.04 / $624.96 / $986.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.05 / $547.73 / $770.27