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Maryland rates for HCPCS 28130

Talectomy (astragalectomy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $630.96 / $1,548.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $691.83 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $794.33 / $1,479.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $691.83 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $602.56 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $724.44 / $1,288.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $758.58 / $954.99