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Maryland 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
$0.98 / $0.98 / $0.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $218.78 / $512.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $234.42 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $263.03 / $489.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $281.84 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $40.74 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $229.09 / $416.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $281.84 / $346.74