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Alaska rates for HCPCS 28304

Osteotomy Tarsal Bones Oth/Thn Calcaneus/Talus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.00 / $7,340.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.23 / $3,044.02 / $5,547.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.48 / $3,348.42 / $5,547.50