go back

Arizona rates for HCPCS 28304

Osteotomy, tarsal bones, other than calcaneus or talus;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.00 / $2,897.00 / $6,483.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,283.06 / $3,616.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.99 / $826.62 / $7,104.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$284.14 / $284.14 / $284.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,315.00 / $6,787.00 / $11,396.00