go back

Arizona 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
$1,445.44 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $199.53 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $275.42 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $275.42 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $223.87 / $380.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $239.88 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $251.19 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $1,202.26 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $194.98 / $331.13