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Kentucky 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
$555.26 / $873.65 / $5,320.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $2,316.00 / $4,389.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.97 / $844.06 / $973.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.41 / $1,109.33 / $1,109.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.00 / $4,639.00 / $12,296.00