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Ohio 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
$190.64 / $2,113.00 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.08 / $187.63 / $330.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $1,927.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.64 / $137.71 / $237.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.47 / $202.10 / $268.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.03 / $260.95 / $127,498.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.88 / $251.63 / $358.41
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.42 / $302.42 / $302.42
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.40 / $255.80 / $360.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.67 / $164.77 / $257.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $965.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.77 / $229.63 / $381.51