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Massachusetts rates for HCPCS 28455

Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.82 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.78 / $284.70 / $439.47
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $1,078.00 / $5,661.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.47 / $518.99 / $2,035.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.60 / $360.57 / $643.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.91 / $480.98 / $696.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.20 / $464.81 / $813.35
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.30 / $511.64 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.36 / $367.47 / $505.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.41 / $594.29 / $788.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,205.65 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.02 / $587.91 / $2,035.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.02 / $459.45 / $827.32