go back

Wyoming rates for HCPCS 28540

Closed treatment of tarsal bone dislocation, other than talotarsal; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.95 / $202.71 / $255.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.00 / $252.00 / $252.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.00 / $386.00 / $584.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.57 / $356.43 / $763.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.17 / $387.97 / $655.20