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Delaware rates for HCPCS 28305

Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,739.76 / $1,739.76 / $6,907.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,345.76 / $5,345.76 / $5,345.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.00 / $2,783.00 / $2,783.00