go back

Iowa 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
$281.84 / $2,511.89 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $204.17 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $457.09 / $602.56
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $263.03 / $478.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $436.52 / $1,148.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $407.38 / $1,348.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $446.68 / $524.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $389.05 / $524.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $309.03 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,202.26 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $269.15 / $512.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $389.05 / $457.09