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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
$1,202.26 / $3,981.07 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $199.53 / $407.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,467.37 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $257.04 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $302.00 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $263.03 / $389.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $251.19 / $575.44
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $204.17 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,479.11 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $251.19 / $436.52