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Virginia rates for HCPCS 28304

Osteotomy Tarsal Bones Oth/Thn Calcaneus/Talus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.77 / $1,990.00 / $6,827.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.00 / $12,004.00 / $15,528.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.00 / $572.00 / $1,051.54
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$105.15 / $105.15 / $105.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.90 / $1,010.99 / $1,194.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.05 / $927.41 / $1,473.28
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$132.35 / $153.97 / $285.74
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.47 / $781.33 / $2,632.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00