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Nebraska rates for HCPCS 28304

Osteotomy, tarsal bones, other than calcaneus or talus;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.70 / $4,518.60 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,362.84 / $10,999.42 / $21,276.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.26 / $5,266.26 / $5,266.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.10 / $1,078.60 / $2,897.76
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$284.14 / $284.14 / $284.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.52 / $1,814.40 / $6,319.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,569.59 / $8,163.00 / $9,696.00