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Alaska rates for HCPCS 28450

Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.50 / $5,084.91 / $13,413.92
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$407.19 / $407.19 / $445.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $219.21 / $1,008.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.54 / $610.17 / $925.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.88 / $920.80 / $1,411.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.20 / $642.39 / $1,290.90
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.40 / $997.50 / $1,236.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.31 / $920.80 / $1,411.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.75 / $966.00 / $1,359.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.55 / $938.98 / $1,180.43