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North Dakota 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
$645.65 / $870.96 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $933.25 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $8,912.51 / $14,125.38