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Minnesota rates for HCPCS 28304

Osteotomy Tarsal Bones Oth/Thn Calcaneus/Talus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.66 / $843.29 / $2,525.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,832.94 / $12,197.67 / $25,424.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,044.81 / $2,901.28 / $6,979.43
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$105.15 / $105.15 / $105.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.91 / $2,652.47 / $5,495.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.12 / $1,249.50 / $2,361.17
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$284.14 / $284.14 / $284.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00