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Idaho rates for HCPCS 28420

Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.64 / $1,740.52 / $2,641.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,219.90 / $11,219.90 / $11,251.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.22 / $1,906.20 / $2,263.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.40 / $2,152.60 / $3,038.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,103.92 / $2,295.17 / $3,020.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,795.38 / $2,258.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,972.55 / $34,178.19 / $43,515.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,220.78 / $2,612.67 / $3,020.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.08 / $1,878.46 / $2,697.99