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Vermont rates for HCPCS 28545

Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $323.59 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $398.11 / $602.56
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $416.87 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $380.19 / $724.44