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Massachusetts 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
$831.76 / $2,818.38 / $5,623.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $7,413.10 / $28,840.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,778.28
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,348.96 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,918.31 / $15,488.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $7,413.10 / $28,840.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,244.36 / $16,595.87