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Louisiana 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
$660.69 / $1,513.56 / $4,168.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $9,332.54 / $13,489.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $6,456.54 / $13,489.63