go back

Tennessee rates for HCPCS 28430

Closed treatment of talus fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.52 / $2,011.00 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$140.52 / $305.64 / $418.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.38 / $235.11 / $394.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.00 / $1,500.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.56 / $295.79 / $466.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.26 / $306.31 / $467.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,134.73 / $1,134.73
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$701.49 / $794.31 / $794.31
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.52 / $1,835.84 / $2,115.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.13 / $264.51 / $511.88