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Maryland 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
Professional
Modifier
Low / Median / High Price
$1,149.24 / $1,304.44 / $2,367.51
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.00 / $1,370.59 / $1,535.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $641.21 / $8,823.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.51 / $1,712.54 / $2,980.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.36 / $1,765.18 / $2,305.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.25 / $1,410.42 / $2,474.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.41 / $1,573.61 / $1,932.41