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Ohio rates for HCPCS 28475

Closed treatment of metatarsal fracture; with manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.23 / $2,113.00 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.06 / $238.81 / $438.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $1,927.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.02 / $191.94 / $331.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.23 / $224.98 / $327.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.76 / $274.07 / $348.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.13 / $331.74 / $473.38
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.53 / $395.53 / $395.53
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.89 / $336.08 / $477.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.98 / $193.97 / $315.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $965.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.29 / $317.48 / $513.91