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Alaska rates for HCPCS 28615

Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,793.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.17 / $4,011.85 / $5,616.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.58 / $4,011.85 / $5,616.59