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Washington rates for HCPCS 28555

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

Facilitymedian $1,660 · 10th–90th $851–$16,2180%10%10th90th$1,660$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$1,202.26 / $2,344.23 / $17,782.79
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $19,054.61 / $38,904.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $758.58 / $14,454.40
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,348.96 / $9,120.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,659.59 / $1,737.80
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,202.26 / $2,884.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $19,952.62 / $38,904.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $20,892.96 / $41,686.94