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Vermont rates for HCPCS 28455

Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.54 / $321.82 / $352.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.53 / $478.02 / $1,081.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.42 / $426.56 / $655.48
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.77 / $426.56 / $655.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.56 / $411.70 / $1,196.83