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New Jersey 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
$2,290.87 / $5,495.41 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $194.98 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $263.03 / $616.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $245.47 / $338.84
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $776.25 / $1,230.27
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $239.88 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,884.03 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $204.17 / $467.74