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Texas 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
$790.00 / $3,219.00 / $11,453.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,084.66 / $8,972.92 / $18,065.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $611.96 / $619.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.69 / $769.69 / $769.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,510.71 / $26,542.00 / $27,636.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.11 / $879.96 / $1,346.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.77 / $879.96 / $1,414.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.00 / $7,184.00 / $16,000.00