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New York 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
$221.83 / $2,900.00 / $7,307.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.27 / $204.68 / $348.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.38 / $193.22 / $461.91
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.22 / $246.22 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.22 / $246.22 / $274.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.42 / $302.42 / $14,648.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.82 / $278.00 / $682.23
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $262.50 / $465.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.59 / $303.83 / $444.87
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.43 / $189.43 / $189.43
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.57 / $205.71 / $426.91
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.42 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.82 / $286.16 / $675.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.98 / $237.00 / $553.23
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.53 / $217.53 / $824.93
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.07 / $263.99 / $462.45