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Nevada 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
$202.71 / $1,706.00 / $4,473.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.13 / $181.95 / $382.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,433.00 / $4,098.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.91 / $197.62 / $289.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.29 / $127.29 / $127.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.00 / $233.12 / $334.47
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $204.12 / $313.14
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.11 / $265.11 / $265.11
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $191.39 / $297.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,427.00 / $1,998.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.89 / $225.34 / $350.92