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Kansas 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 / $3,630.78 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $194.98 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $776.25 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $245.47 / $389.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $263.03 / $549.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $281.84 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $416.87 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $218.78 / $309.03