go back

Oklahoma 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
$682.00 / $3,683.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.13 / $182.93 / $203.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.21 / $1,878.12 / $2,967.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.66 / $227.32 / $275.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.03 / $195.03 / $195.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.30 / $236.73 / $307.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.09 / $244.78 / $940.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.39 / $223.45 / $1,511.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.82 / $201.67 / $288.74