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Pennsylvania rates for HCPCS 28120

Partial Excision Bone Talus/Calcaneus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.56 / $3,107.00 / $8,427.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,292.00 / $5,951.00 / $9,100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.64 / $843.64 / $843.64
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,246.12 / $7,994.04 / $14,968.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.25 / $3,694.00 / $10,398.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.64 / $843.64 / $843.64
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.92 / $559.53 / $649.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00