go back

Connecticut 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
$371.54 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $208.93 / $524.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,162.28 / $11,748.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $354.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $338.84 / $537.03
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $288.40 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,467.37 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $281.84 / $512.86