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Nebraska rates for HCPCS 28475

Closed treatment of metatarsal fracture; with manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.49 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.37 / $243.49 / $1,205.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,350.61 / $4,406.97 / $8,524.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.62 / $387.24 / $519.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.40 / $193.40 / $193.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.00 / $542.25 / $746.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.14 / $396.63 / $689.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.19 / $531.12 / $1,757.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.73 / $523.71 / $703.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.01 / $526.25 / $701.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.19 / $531.12 / $681.02