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Tennessee 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
$369.12 / $2,011.00 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$127.28 / $276.83 / $379.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.70 / $206.64 / $361.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.00 / $1,438.00 / $2,200.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.35 / $270.43 / $422.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.67 / $280.27 / $425.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,031.60 / $1,031.60
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$635.79 / $722.13 / $722.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,440.80 / $1,669.19 / $1,856.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.20 / $238.08 / $442.09