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North Carolina 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
$554.37 / $1,181.00 / $7,278.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $530.04 / $8,642.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.86 / $949.00 / $1,519.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,006.52 / $3,302.06 / $16,394.00