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Kentucky rates for HCPCS 28455

Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.42 / $383.35 / $3,740.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.42 / $248.36 / $376.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,014.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.44 / $195.64 / $365.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.54 / $300.02 / $346.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.74 / $300.02 / $474.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.47 / $394.33 / $394.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.45 / $368.00 / $549.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $100.30 / $261.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $668.00 / $3,176.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.50 / $357.63 / $542.57