go back

Alaska rates for HCPCS 28555

Open treatment of tarsal bone dislocation, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,925.60 / $7,340.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.60 / $3,265.89 / $5,787.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.82 / $3,514.02 / $5,787.80