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Minnesota 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 / $204.17 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $194.98 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $870.96 / $2,290.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $436.52 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $588.84 / $891.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $724.44 / $1,412.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $512.86 / $831.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $354.81 / $588.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $398.11 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,819.70 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $346.74 / $660.69