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Missouri rates for HCPCS 28430

Closed treatment of talus fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.97 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$135.46 / $154.19 / $190.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.61 / $224.14 / $464.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.99 / $251.00 / $360.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.87 / $298.17 / $481.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.61 / $306.58 / $669.20
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$701.49 / $701.49 / $701.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.98 / $356.06 / $1,835.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.00 / $760.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.10 / $290.52 / $496.62