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Nebraska 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
$799.29 / $4,778.89 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,183.05 / $10,762.95 / $20,819.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,553.10 / $7,553.10 / $7,553.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.32 / $1,163.01 / $3,129.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,338.57 / $1,852.25 / $8,583.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00