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Indiana rates for HCPCS 28210

Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.96 / $1,030.47 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,473.00 / $7,890.00 / $30,900.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.33 / $504.83 / $734.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,484.43 / $6,484.43 / $7,686.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00