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Maryland rates for HCPCS 28455

Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.29 / $277.82 / $545.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.97 / $302.22 / $332.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $134.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.12 / $360.10 / $685.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.26 / $349.93 / $498.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.21 / $321.61 / $604.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.69 / $311.95 / $388.29