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Delaware rates for HCPCS 28455

Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.68 / $261.41 / $294.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.51 / $156.51 / $156.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.43 / $268.29 / $513.41
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,132.00 / $6,132.00 / $6,132.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.00 / $143.00 / $143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.07 / $294.50 / $655.39