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New York rates for HCPCS 28475

Closed treatment of metatarsal fracture; with manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $2,691.53 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $275.42 / $645.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $257.04 / $630.96
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $398.11 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $380.19 / $1,000.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $302.00 / $870.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $630.96
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $354.81 / $562.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $323.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $398.11 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,754.23 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $302.00 / $741.31
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $281.84 / $1,148.15
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $323.59 / $741.31