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Colorado 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
$915.00 / $3,889.00 / $9,872.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.13 / $188.11 / $250.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.00 / $2,971.00 / $7,022.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.02 / $253.02 / $402.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.28 / $173.28 / $545.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.78 / $260.33 / $386.37
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.12 / $247.88 / $331.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.22 / $282.27 / $402.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $1,491.00 / $2,720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.64 / $272.93 / $551.74