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Georgia rates for HCPCS 28555

Open Treatment Tarsal Bone Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.84 / $3,460.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.37 / $5,435.54 / $12,227.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.70 / $1,362.68 / $1,853.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $1,109.33 / $6,927.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.29 / $1,084.68 / $2,052.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.00 / $9,172.00 / $18,613.00