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North Carolina rates for HCPCS 28540

Cltx Tarsal Dislc Oth/Thn Talotarsal W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.09 / $276.24 / $5,449.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.09 / $190.36 / $340.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.89 / $115.89 / $117.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.08 / $296.63 / $512.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.64 / $207.64 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.01 / $273.94 / $483.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.09 / $238.20 / $380.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.20 / $241.00 / $262.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.00 / $286.57 / $356.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.85 / $226.31 / $513.66
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $941.78 / $941.78
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.60 / $1,479.12 / $1,688.03