go back

Louisiana rates for HCPCS 28430

Closed Tx Talus Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.01 / $1,135.00 / $3,500.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$191.21 / $216.01 / $333.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.06 / $288.00 / $407.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.22 / $398.79 / $556.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.30 / $307.27 / $388.93
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $210.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.29 / $304.63 / $418.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.75 / $259.57 / $476.75