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Connecticut rates for HCPCS 28455

Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.70 / $4,305.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.25 / $299.37 / $716.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,786.00 / $8,931.00 / $29,890.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.50 / $472.34 / $677.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $390.85 / $390.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.14 / $492.89 / $719.75
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.80 / $1,643.00 / $1,677.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.20 / $409.88 / $515.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $3,075.00 / $6,664.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.68 / $508.99 / $827.32