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Arizona 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
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $199.28 / $439.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.71 / $337.73 / $552.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.53 / $260.93 / $310.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.26 / $242.32 / $399.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.77 / $244.53 / $1,053.00
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$635.79 / $635.79 / $635.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.43 / $245.98 / $1,621.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.70 / $215.86 / $409.89