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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
$338.84 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $223.87 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $389.05 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $263.03 / $338.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $177.83 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $281.84 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $501.19 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $218.78 / $363.08