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Massachusetts 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
$207.02 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$137.30 / $137.30 / $155.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.06 / $219.30 / $507.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $684.30 / $2,713.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$722.13 / $722.13 / $722.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.45 / $418.22 / $1,669.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.64 / $309.22 / $552.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.77 / $414.14 / $580.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.08 / $349.76 / $610.91
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.63 / $307.14 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.64 / $310.33 / $428.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.76 / $498.01 / $642.69
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.84 / $226.84 / $586.98
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.42 / $259.42 / $290.93
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,031.60 / $3,445.00
Mass General Brigham
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$722.13 / $722.13 / $722.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.66 / $461.09 / $1,669.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.83 / $346.12 / $657.70