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Missouri rates for HCPCS 28304

Osteotomy, tarsal bones, other than calcaneus or talus;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.22 / $2,945.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,500.00 / $11,467.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.46 / $998.96 / $4,463.00
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
$2,902.00 / $5,376.20 / $7,900.00