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Michigan rates for HCPCS 28304

Osteotomy, tarsal bones, other than calcaneus or talus;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.77 / $1,081.50 / $4,157.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,398.78 / $6,336.58 / $8,585.06
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.11 / $1,346.50 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,032.00 / $12,767.00