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Mississippi rates for HCPCS 28455

Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.70 / $750.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.21 / $271.29 / $600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.17 / $218.17 / $218.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.00 / $465.00 / $465.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.82 / $147.57 / $163.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.12 / $427.80 / $581.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $513.00 / $1,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.60 / $323.05 / $631.07