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Rhode Island rates for HCPCS 28455

Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.78 / $333.24 / $430.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.89 / $282.33 / $576.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.02 / $464.81 / $595.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.94 / $412.56 / $654.04