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Washington, DC 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
$916.20 / $3,575.00 / $4,601.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.69 / $2,008.78 / $2,008.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $5,185.00 / $19,046.00