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California 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
$344.00 / $4,848.00 / $16,573.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.13 / $187.35 / $936.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,464.00 / $8,976.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.75 / $224.07 / $450.85
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $1,581.82
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.29 / $206.13 / $466.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.00 / $237.59 / $425.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.00 / $240.61 / $492.55
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.20 / $223.04 / $301.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.11 / $255.10 / $444.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $829.58 / $941.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.60 / $1,511.12 / $1,688.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.64 / $252.01 / $356.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.41 / $254.75 / $499.45
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.29 / $581.29 / $648.61
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.42 / $202.84 / $279.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.00 / $1,533.00 / $6,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.38 / $201.72 / $446.54