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Tennessee rates for HCPCS 28475

Closed treatment of metatarsal fracture; with manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.34 / $1,367.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.90 / $243.88 / $399.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,534.00 / $2,430.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.57 / $323.42 / $504.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.76 / $339.24 / $522.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,210.10 / $1,210.10
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,721.28 / $1,991.10 / $2,265.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $786.00 / $2,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.81 / $293.99 / $541.38