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Louisiana rates for HCPCS 28475

Closed treatment of metatarsal fracture; with manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.48 / $1,142.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.15 / $305.98 / $435.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.74 / $123.74 / $247.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.86 / $492.94 / $970.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.64 / $333.84 / $423.22
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $218.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.11 / $346.40 / $456.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.41 / $290.10 / $517.07