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Nebraska 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
$198.40 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$134.66 / $134.66 / $148.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.38 / $198.41 / $926.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,350.61 / $4,406.97 / $8,524.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.88 / $315.13 / $431.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.40 / $193.40 / $193.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.10 / $458.89 / $635.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.54 / $332.15 / $545.79
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
$259.23 / $439.70 / $1,469.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.73 / $438.05 / $594.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $440.18 / $594.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.23 / $396.34 / $558.35