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Washington, DC rates for HCPCS 28455

Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.73 / $2,080.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.82 / $313.73 / $759.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.97 / $302.22 / $2,642.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.72 / $405.88 / $822.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.19 / $602.33 / $602.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.25 / $539.65 / $729.26