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California 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
$886.75 / $5,679.00 / $17,538.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,977.00 / $13,707.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,809.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $9,888.77 / $17,711.23
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.55 / $837.82 / $1,375.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.35 / $956.59 / $1,595.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,129.64 / $3,302.06 / $16,394.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.91 / $913.98 / $1,337.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $13,555.00 / $29,312.00