go back

Wyoming rates for HCPCS 28122

Prtl Exc B1 Tarsal/Metar B1 Xcp Talus/Calcaneus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.46 / $8,929.60 / $8,929.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.14 / $613.91 / $5,171.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,767.20 / $2,767.20 / $2,767.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.00 / $1,137.00 / $1,719.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.55 / $971.62 / $1,672.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.33 / $1,195.94 / $2,164.48