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Nebraska 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
$4,083.97 / $8,477.27 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,362.84 / $10,999.42 / $21,276.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,308.65 / $7,308.65 / $7,308.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.44 / $1,180.74 / $8,892.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,608.38 / $9,257.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00