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Kansas rates for HCPCS 28455

Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.44 / $3,232.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.25 / $298.35 / $473.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.40 / $1,536.16 / $2,555.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.99 / $377.63 / $418.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.10 / $345.98 / $583.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.41 / $379.17 / $773.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.45 / $381.35 / $1,970.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,713.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.51 / $337.51 / $471.95