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Connecticut 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
$1,659.59 / $4,677.35 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $17,378.01 / $26,915.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $13,803.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $10,964.78 / $18,620.87