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Texas rates for HCPCS 28450

Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.39 / $2,128.00 / $7,513.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$122.96 / $147.62 / $231.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.38 / $205.10 / $342.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.89 / $215.89 / $215.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.80 / $164.53 / $666.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.52 / $225.97 / $321.72
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.73 / $271.02 / $336.46
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.89 / $176.89 / $188.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.64 / $328.64 / $328.64
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$230.05 / $230.05 / $230.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.57 / $264.30 / $409.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.79 / $248.44 / $388.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.45 / $299.77 / $382.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.53 / $257.33 / $357.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.79 / $249.11 / $399.31
Providence
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$230.05 / $230.05 / $405.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.18 / $280.80 / $427.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $950.00 / $2,405.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.86 / $230.01 / $354.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.75 / $205.87 / $289.87