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New York rates for HCPCS 28304

Osteotomy, tarsal bones, other than calcaneus or talus;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.56 / $2,626.00 / $7,307.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,749.00 / $9,877.00 / $16,490.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.52 / $1,716.00 / $6,213.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.54 / $1,051.54 / $1,051.54
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$105.15 / $105.15 / $105.15
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $660.41 / $1,617.21
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.25 / $771.25 / $771.25
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,051.54 / $15,753.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$105.15 / $105.15 / $105.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.00 / $6,700.00 / $16,782.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.18 / $741.18 / $2,848.32