go back

Illinois rates for HCPCS 28555

Open Treatment Tarsal Bone Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $1,608.50 / $4,961.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,736.69 / $10,053.12 / $15,671.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $9,797.87 / $10,938.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.36 / $1,240.36 / $2,808.59
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
$2,575.00 / $6,920.00 / $14,716.00