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Georgia 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
$199.37 / $2,987.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.53 / $199.37 / $410.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.14 / $2,139.92 / $4,143.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.56 / $252.79 / $461.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.08 / $374.13 / $508.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.44 / $302.42 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.53 / $287.06 / $473.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.26 / $279.99 / $489.06
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.50 / $306.52 / $352.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $1,550.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.87 / $272.20 / $448.37