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Missouri 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
$230.11 / $2,598.00 / $7,365.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$122.24 / $134.93 / $172.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $199.28 / $375.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.29 / $113.29 / $113.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.42 / $227.11 / $335.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.45 / $268.37 / $436.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.97 / $276.30 / $640.28
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$635.79 / $635.79 / $635.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.48 / $319.98 / $1,621.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.00 / $262.87 / $444.35