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Idaho 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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $257.04 / $436.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $281.84 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $398.11 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $281.84 / $363.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $316.23 / $524.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $389.05 / $489.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $165.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $524.81 / $741.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $389.05 / $446.68
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $295.12 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $1,819.70 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $288.40 / $426.58