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Ohio 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
$824.24 / $2,532.00 / $9,504.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,670.00 / $6,003.00 / $30,285.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.96 / $741.77 / $985.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.33 / $1,109.33 / $1,109.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,440.00 / $13,382.00