go back

Michigan 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
$158.49 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $218.78 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $316.23 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $416.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $630.96 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $257.04 / $398.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $229.09 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $794.33 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $234.42 / $309.03