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Pennsylvania rates for HCPCS 28405

Closed Tx Calcaneal Fracture W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.11 / $369.62 / $532.41
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.55 / $478.96 / $747.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.75 / $700.75 / $700.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.76 / $471.05 / $799.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.41 / $746.16 / $954.16
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.90 / $471.90 / $471.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,077.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.83 / $414.35 / $1,426.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.00 / $563.26 / $797.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.75 / $700.75 / $700.75
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.03 / $481.05 / $814.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.08 / $400.99 / $445.57
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.08 / $427.77 / $476.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $650.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.50 / $470.93 / $775.26