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Iowa rates for HCPCS 28555

Open Treatment Tarsal Bone Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,906.00 / $4,235.59 / $7,119.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.99 / $1,147.88 / $2,097.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.69 / $1,734.45 / $10,188.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,443.94 / $1,852.25 / $8,584.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,220.00 / $9,259.00 / $14,242.22