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Illinois 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
$870.96 / $1,862.09 / $5,888.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $10,471.29 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $9,772.37
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,258.93 / $3,162.28
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,309.57 / $16,982.44