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Virginia rates for HCPCS 28113

Ostectomy Complete 5th Metatarsal Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.97 / $3,988.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.76 / $553.00 / $931.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.73 / $508.15 / $840.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.24 / $504.62 / $3,714.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $729.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.81 / $630.79 / $1,150.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.35 / $715.33 / $845.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.45 / $666.97 / $1,028.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.00 / $822.00 / $1,096.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.05 / $544.24 / $1,846.94
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.52 / $725.86 / $2,515.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.05 / $666.52 / $1,145.68