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North Dakota 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
$177.83 / $194.98 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $186.21 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $398.11 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $398.11 / $616.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $263.03 / $467.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $363.08 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,819.70 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $331.13 / $467.74