go back

Rhode Island 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
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $204.17 / $524.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $208.93 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $295.12 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,412.54 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $239.88 / $407.38