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Kentucky 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
$181.97 / $1,000.00 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $190.55 / $354.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $144.54 / $257.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $204.17 / $263.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $223.87 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $281.84 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $72.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $602.56 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $218.78 / $363.08