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Delaware 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
$1,690.80 / $2,223.35 / $3,949.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,524.56 / $5,524.56 / $5,524.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.00 / $2,783.00 / $2,783.00