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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
$251.19 / $3,630.78 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $204.17 / $380.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,089.30 / $3,548.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $275.42 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $302.00 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $288.40 / $467.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $275.42 / $1,380.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $309.03 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $1,479.11 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $239.88 / $416.87