go back

Nebraska rates for HCPCS 28430

Closed Tx Talus Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.69 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$148.38 / $148.38 / $169.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.43 / $225.69 / $1,047.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,350.61 / $4,406.97 / $8,524.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.47 / $356.27 / $476.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.40 / $193.40 / $193.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.45 / $504.08 / $685.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.12 / $368.84 / $580.79
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
$291.24 / $484.10 / $1,612.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.73 / $481.79 / $658.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.00 / $482.75 / $656.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.24 / $484.10 / $627.28