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Louisiana rates for HCPCS 28304

Osteotomy Tarsal Bones Oth/Thn Calcaneus/Talus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $1,520.00 / $3,685.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,809.77 / $9,816.98 / $14,375.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $568.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $725.00 / $725.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $5,780.00 / $13,506.00