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Illinois rates for HCPCS 28304

Osteotomy, tarsal bones, other than calcaneus or talus;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.00 / $1,522.40 / $4,634.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,194.43 / $9,829.73 / $14,410.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $6,831.39 / $7,626.43
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.18 / $1,209.39 / $3,357.28
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
$2,600.00 / $6,202.00 / $14,468.00