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Pennsylvania rates for HCPCS 28130

Talectomy (astragalectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,142.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.53 / $625.70 / $924.22
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.04 / $666.16 / $1,285.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.98 / $711.98 / $711.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.27 / $777.68 / $1,298.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.23 / $989.00 / $1,278.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.32 / $719.00 / $3,014.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.80 / $750.80 / $1,509.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.98 / $711.98 / $711.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.35 / $795.71 / $1,345.77
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.42 / $593.42 / $644.79
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.54 / $594.11 / $644.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.47 / $766.12 / $1,247.06