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Alaska rates for HCPCS 28540

Closed treatment of tarsal bone dislocation, other than talotarsal; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.90 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.13 / $558.90 / $947.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.05 / $573.41 / $852.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.58 / $861.80 / $1,327.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.15 / $590.97 / $1,187.55
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.00 / $906.50 / $1,104.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.58 / $861.80 / $1,327.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.69 / $872.85 / $1,128.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.92 / $863.68 / $1,108.61