go back

Indiana rates for HCPCS 28130

Talectomy Astragalectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.34 / $2,318.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.03 / $576.07 / $773.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.00 / $6,474.00 / $13,758.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.08 / $750.66 / $1,035.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.52 / $807.77 / $1,211.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.98 / $692.38 / $1,038.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,963.58 / $5,963.58 / $7,069.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.66 / $817.02 / $1,370.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.75 / $692.38 / $1,313.53