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New Jersey 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
$3,235.94 / $5,888.44 / $10,715.19
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $22,908.68 / $36,307.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $10,000.00 / $25,118.86