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Texas rates for HCPCS 28470

Closed treatment of metatarsal fracture; without manipulation, each

Facilitymedian $912 · 10th–90th $170$5,1290%5%10th90th$912Professionalmedian $245 · 10th–90th $186$4370%10%20%10th90th$245$50.0$200.0$1.0K$5.0K

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
$331.13 / $1,995.26 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $234.42 / $457.09
Aetna
Facility/Professional
Professional
Modifier
54
Typical Low / Median / Typical High
$257.04 / $288.40 / $426.58
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $234.42 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
54
Typical Low / Median / Typical High
$416.87 / $416.87 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $169.82 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $239.88 / $338.84
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $112.20 / $177.83
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $309.03 / $416.87
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $223.87 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
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
$204.17 / $275.42 / $446.68
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $2,570.40
Lucent Health
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$912.01 / $912.01 / $912.01
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,905.46 / $1,905.46
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $295.12 / $2,290.87
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $288.40 / $467.74
Moda Health
Facility/Professional
Professional
Modifier
54
Typical Low / Median / Typical High
$263.03 / $316.23 / $478.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $173.78 / $204.17
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $776.25 / $891.25
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $269.15 / $446.68
Providence
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $275.42 / $436.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $851.14 / $2,290.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $223.87 / $338.84
United
Facility/Professional
Professional
Modifier
54
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $234.42 / $239.88