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Minnesota rates for HCPCS 28114

Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg, Clayton type procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,096.48 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $7,585.78 / $18,620.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,981.07 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$141.25 / $141.25 / $141.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,801.89 / $7,413.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,698.24 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,786.30 / $8,912.51