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Massachusetts rates for HCPCS 28555

Open Treatment Tarsal Bone Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.34 / $2,663.12 / $4,767.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.56 / $5,097.00 / $15,421.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.93 / $994.50 / $1,775.40
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.74 / $1,411.18 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $16,394.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00