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Texas 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
$696.00 / $2,512.00 / $7,495.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,665.92 / $9,152.37 / $18,723.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $597.72 / $604.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.33 / $1,109.33 / $1,109.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,129.64 / $11,500.00 / $16,394.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.11 / $868.37 / $1,439.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.11 / $872.34 / $1,470.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.00 / $7,184.00 / $16,000.00