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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
$165.96 / $190.55 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $549.54 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $346.74 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $295.12 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $346.74 / $707.95