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Ohio rates for HCPCS 28304

Osteotomy, tarsal bones, other than calcaneus or talus;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.04 / $2,849.00 / $9,516.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,707.00 / $6,932.00 / $30,285.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.50 / $702.67 / $933.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.54 / $1,051.54 / $1,051.54
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$105.15 / $105.15 / $105.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,534.00 / $6,730.00 / $12,871.00