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Pennsylvania rates for HCPCS 28470

Closed treatment of metatarsal fracture; without manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.82 / $884.68 / $5,750.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$161.21 / $171.62 / $945.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.40 / $226.97 / $452.45
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$141.79 / $161.21 / $276.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.26 / $311.43 / $381.43
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.51 / $229.87 / $302.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.09 / $351.09 / $351.09
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$245.76 / $245.76 / $245.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.58 / $252.23 / $417.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.29 / $354.63 / $458.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.20 / $580.00 / $1,103.93
Highmark BCBS
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$207.31 / $804.57 / $830.25
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.83 / $249.55 / $289.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.94 / $1,069.84 / $7,104.00
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$161.21 / $171.62 / $945.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.02 / $264.75 / $460.78
Martin's Point
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$142.87 / $182.37 / $341.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.89 / $292.42 / $458.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.09 / $351.09 / $351.09
Priority Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$245.76 / $245.76 / $245.76
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.46 / $257.60 / $436.19
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.33 / $213.98 / $267.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.97 / $213.98 / $242.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.90 / $650.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.54 / $262.56 / $386.99