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New York rates for HCPCS 28130

Talectomy (astragalectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.54 / $4,392.00 / $10,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.72 / $664.08 / $1,171.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $5,196.00 / $11,909.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.05 / $742.69 / $1,630.88
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.17 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.17 / $877.17 / $877.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.98 / $711.98 / $711.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.04 / $1,032.05 / $2,376.51
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $637.50 / $1,643.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.13 / $959.61 / $1,409.73
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.37 / $594.37 / $594.37
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.32 / $654.36 / $1,319.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $711.98
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.41 / $955.18 / $2,205.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.39 / $786.78 / $1,816.62
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.22 / $748.22 / $2,818.87
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.34 / $828.31 / $1,581.62