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Texas rates for HCPCS 28470

Closed Tx Metatarsal Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.88 / $1,871.00 / $6,021.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$132.13 / $152.29 / $247.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.18 / $211.78 / $372.70
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$140.76 / $161.75 / $263.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.79 / $243.43 / $279.42
Ambetter
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$428.60 / $428.60 / $428.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.88 / $166.71 / $666.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.76 / $240.07 / $338.16
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.16 / $238.52 / $315.33
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.91 / $294.06 / $373.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.04 / $224.51 / $224.51
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
$210.83 / $274.58 / $425.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $1,110.50
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$681.37 / $777.35 / $777.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.44 / $1,670.64 / $1,909.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.47 / $250.30 / $395.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.39 / $311.99 / $393.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.04 / $386.59 / $810.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.46 / $252.94 / $406.50
Providence
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$245.76 / $245.76 / $418.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.86 / $289.52 / $444.46
Providence
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$328.10 / $344.30 / $406.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $943.00 / $2,376.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.10 / $233.18 / $359.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.00 / $211.68 / $298.23