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Arizona rates for HCPCS 28455

Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.98 / $247.62 / $578.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,651.20 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.29 / $311.99 / $370.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.70 / $328.69 / $533.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.49 / $305.99 / $1,126.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.87 / $332.42 / $1,970.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.65 / $288.20 / $561.16