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Mississippi rates for HCPCS 28555

Open Treatment Tarsal Bone Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.99 / $1,250.00 / $1,831.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,644.37 / $3,644.37 / $3,644.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,653.21 / $5,209.22 / $7,352.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $5,261.00 / $11,325.00