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Louisiana 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
$262.66 / $1,230.00 / $3,500.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$172.94 / $191.09 / $301.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.70 / $254.78 / $355.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.50 / $206.50 / $206.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.68 / $397.58 / $556.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.35 / $275.82 / $353.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.89 / $176.89 / $176.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.70 / $280.27 / $369.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.52 / $237.21 / $422.19