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Indiana rates for HCPCS 28450

Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.19 / $514.04 / $5,634.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$135.88 / $150.02 / $251.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $193.01 / $273.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.67 / $188.67 / $235.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.16 / $181.84 / $258.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.10 / $234.13 / $270.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.60 / $238.32 / $297.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.79 / $172.79 / $204.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.69 / $250.17 / $414.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.01 / $225.63 / $407.92