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Oregon rates for HCPCS 28555

Open treatment of tarsal bone dislocation, includes internal fixation, when performed

Facilitymedian $1,660 · 10th–90th $891–$6,0260%20%10th90th$1,660Professionalmedian $1,660 · 10th–90th $1,175–$2,1380%20%10th90th$1,660$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,949.84 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,659.59 / $2,137.96
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $1,202.26 / $1,862.09
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,659.59 / $1,737.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $1,202.26 / $1,819.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $23,442.29 / $30,199.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $21,379.62 / $31,622.78