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Kansas 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
$1,373.68 / $4,387.00 / $10,439.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,958.90 / $2,888.43 / $5,952.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.57 / $1,117.73 / $6,969.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,269.00 / $6,407.00 / $12,989.00