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Washington rates for HCPCS 28475

Closed treatment of metatarsal fracture; with manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.43 / $675.89 / $14,464.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.16 / $323.44 / $641.12
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.18 / $667.91 / $1,278.36
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.12 / $569.30 / $2,030.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.39 / $305.39 / $305.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.54 / $458.82 / $789.94
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.69 / $398.40 / $636.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.65 / $399.48 / $636.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.67 / $243.89 / $552.28
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.44 / $488.43 / $538.67
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.31 / $344.28 / $367.43
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.43 / $538.41 / $663.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.36 / $667.91 / $1,278.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.39 / $489.69 / $649.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $546.00 / $5,793.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.91 / $421.89 / $740.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.89 / $260.02 / $298.30