go back

California rates for HCPCS 28400

Closed Tx Calcaneal Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.00 / $4,848.00 / $16,573.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$157.13 / $172.82 / $1,172.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.16 / $241.74 / $679.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.13 / $229.13 / $229.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,464.00 / $8,976.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.87 / $292.99 / $600.71
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,367.09
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.94 / $256.24 / $571.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.20 / $253.65 / $1,487.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.49 / $302.73 / $629.03
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.90 / $294.86 / $398.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.21 / $327.80 / $585.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,117.64 / $1,240.89 / $12,000.00
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$764.03 / $868.62 / $868.62
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.16 / $1,896.64 / $2,181.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.23 / $317.30 / $434.20
Providence
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$275.81 / $275.81 / $474.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.81 / $323.33 / $641.03
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.26 / $755.26 / $820.18
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.33 / $268.04 / $355.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.00 / $1,506.00 / $5,830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.23 / $255.25 / $560.41