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Connecticut rates for HCPCS 28555

Open Treatment Tarsal Bone Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,328.92 / $4,884.27 / $8,031.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,786.00 / $12,905.00 / $29,890.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.00 / $13,796.66 / $13,796.66
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,330.14 / $4,873.00 / $4,974.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,943.00 / $10,336.00 / $17,069.00