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Virginia rates for HCPCS 28455

Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.30 / $2,516.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.62 / $290.30 / $365.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.74 / $275.89 / $456.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.97 / $302.22 / $3,293.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.33 / $394.33 / $394.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.72 / $355.18 / $609.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.48 / $321.89 / $377.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.66 / $356.28 / $529.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $406.00 / $535.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.78 / $334.11 / $819.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.14 / $359.63 / $819.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.44 / $342.04 / $545.71