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Virginia rates for HCPCS 28475

Closed treatment of metatarsal fracture; with manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.66 / $2,242.34 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.15 / $254.66 / $399.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.04 / $278.24 / $460.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.74 / $280.45 / $822.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.53 / $395.53 / $395.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.67 / $323.19 / $559.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.07 / $329.19 / $389.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.09 / $315.43 / $470.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $361.23 / $506.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.26 / $302.81 / $819.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.06 / $329.94 / $819.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.18 / $320.77 / $497.31