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Missouri 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
$234.42 / $2,570.40 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $204.17 / $524.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $208.93 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $213.80 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $245.47 / $398.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $257.04 / $831.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $288.40 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $691.83 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $218.78 / $346.74