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Indiana 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
$630.60 / $2,318.00 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,473.00 / $7,890.00 / $30,900.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.52 / $864.05 / $1,296.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,529.88 / $6,529.88 / $7,740.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00