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Missouri 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
$904.46 / $3,213.00 / $7,365.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.44 / $1,063.83 / $4,463.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,432.00 / $12,989.00