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Maryland rates for HCPCS 28130

Talectomy Astragalectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.72 / $625.70 / $1,088.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.64 / $697.00 / $781.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $4,201.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.92 / $861.04 / $1,604.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.99 / $850.10 / $1,112.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.75 / $743.78 / $1,496.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.25 / $757.84 / $939.06