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California 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
$1,659.59 / $6,025.60 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $707.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,466.84 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $281.84 / $549.54
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $239.88 / $1,778.28
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $275.42 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $263.03 / $512.86
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $269.15 / $354.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $269.15 / $467.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $1,288.25
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$851.14 / $851.14 / $851.14
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,862.09 / $1,862.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $302.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $275.42 / $416.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $275.42 / $524.81
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $707.95
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $208.93 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,584.89 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $208.93 / $436.52