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Pennsylvania 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
$882.00 / $3,142.00 / $7,799.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.69 / $769.69 / $769.69
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,968.65 / $18,968.65 / $18,968.65
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.69 / $769.69 / $769.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.78 / $656.78 / $908.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00