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Florida rates for HCPCS 28555

Open Treatment Tarsal Bone Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.29 / $3,276.00 / $10,632.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.00 / $5,019.10 / $5,975.13
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,462.00 / $12,949.00 / $20,609.00