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Maryland rates for HCPCS 28555

Open treatment of tarsal bone dislocation, includes internal fixation, when performed

Facilitymedian $12,882 · 10th–90th $617–$12,8820%50%10th$12,882Professionalmedian $1,072 · 10th–90th $933–$1,5850%20%10th90th$1,072$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $12,882.50 / $12,882.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $457.09 / $4,786.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,071.52 / $1,584.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,000.00 / $14,791.08