go back

Florida 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
$549.54 / $3,311.31 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $190.55 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $120.23 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $234.42 / $380.19
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,454.71 / $4,168.69
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $154.88 / $208.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $147.91 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $1,584.89 / $4,168.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $186.21 / $338.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $154.88 / $204.17