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Minnesota rates for HCPCS 28455

Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.58 / $305.08 / $2,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.62 / $295.06 / $430.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.41 / $3,046.07 / $5,941.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.52 / $678.99 / $919.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.94 / $929.27 / $2,235.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.44 / $763.49 / $1,145.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.40 / $849.58 / $1,760.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.06 / $663.92 / $1,028.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.58 / $456.19 / $760.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.20 / $585.28 / $1,761.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.20 / $576.16 / $1,118.73