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Kentucky rates for HCPCS 28304

Osteotomy, tarsal bones, other than calcaneus or talus;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.00 / $890.33 / $2,747.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $2,316.00 / $4,389.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.16 / $800.09 / $922.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.58 / $1,051.54 / $1,051.54
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$105.15 / $105.15 / $105.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.00 / $4,639.00 / $12,296.00