go back

Texas rates for HCPCS 28530

Closed Treatment Sesamoid Fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.90 / $110.19 / $189.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.06 / $118.44 / $175.67
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.27 / $162.03 / $230.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.66 / $144.72 / $219.46
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.12 / $907.58 / $1,034.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $167.55 / $213.63
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.52 / $203.23 / $409.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.18 / $152.21 / $230.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.45 / $122.62 / $190.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.14 / $115.03 / $162.16