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Rhode Island 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
$2,424.15 / $3,243.94 / $3,955.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,713.00 / $7,457.00 / $12,945.00