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Minnesota 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
$665.93 / $881.11 / $2,525.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,080.70 / $12,197.67 / $25,424.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,131.51 / $3,024.31 / $7,275.39
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,937.74 / $2,764.94 / $5,728.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.57 / $1,323.28 / $2,325.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00