go back

Illinois rates for HCPCS 28304

Osteotomy, tarsal bones, other than calcaneus or talus;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,862.09 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,471.29 / $14,125.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $6,760.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,230.27 / $3,715.35
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,309.57 / $16,982.44