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North Carolina 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
$251.19 / $645.65 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $204.17 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $269.15 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $269.15 / $457.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $446.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $234.42 / $371.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $316.23 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $724.44 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $204.17 / $389.05
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,288.25 / $1,288.25
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,698.24