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Alabama 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
$575.44 / $1,445.44 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $204.17 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $724.44 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $251.19 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $229.09 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $562.34 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $181.97 / $323.59