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Nebraska 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
$407.38 / $3,801.89 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $204.17 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,365.16 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $288.40 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $416.87 / $602.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $302.00 / $831.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $398.11 / $1,513.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $457.09 / $575.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $467.74 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $1,230.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $323.59 / $489.78