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North Carolina rates for HCPCS 28304

Osteotomy Tarsal Bones Oth/Thn Calcaneus/Talus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.70 / $1,212.43 / $4,608.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,510.35 / $4,510.35 / $4,576.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $530.04 / $6,025.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.86 / $945.38 / $1,455.79
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$122.08 / $132.72 / $221.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,317.00 / $14,893.00 / $22,265.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,845.60 / $3,118.33 / $16,394.00
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$159.78 / $311.83 / $311.83