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Indiana rates for HCPCS 28130

Talectomy (astragalectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $4,897.79 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $630.96 / $1,348.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $13,803.84 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $758.58 / $1,202.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $630.96 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,000.00 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $776.25 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $6,025.60 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $707.95 / $1,202.26