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New York rates for HCPCS 28470

Closed treatment of metatarsal fracture; without manipulation, each

Facilitymedian $2,884 · 10th–90th $282$7,2440%10%10th90th$2,884Professionalmedian $288 · 10th–90th $191$6310%10%20%10th90th$288$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $2,630.27 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $281.84 / $616.60
Aetna
Facility/Professional
Professional
Modifier
54
Typical Low / Median / Typical High
$251.19 / $426.58 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $223.87 / $575.44
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $354.81 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $316.23 / $831.76
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $275.42 / $812.83
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $380.19 / $537.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Excellus BCBS
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $295.12 / $478.63
Excellus BCBS
Facility/Professional
Professional
Modifier
54
Typical Low / Median / Typical High
$128.82 / $239.88 / $371.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $309.03 / $309.03
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $389.05 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $2,398.83 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $281.84 / $891.25
United
Facility/Professional
Professional
Modifier
54
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $251.19 / $831.76
Univera
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$134.90 / $147.91 / $199.53
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $281.84 / $588.84
Univera
Facility/Professional
Professional
Modifier
54
Typical Low / Median / Typical High
$141.25 / $223.87 / $426.58