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Arizona 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
$1,445.50 / $3,104.00 / $7,283.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.93 / $1,039.61 / $9,251.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$214.60 / $214.60 / $2,411.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,279.00 / $7,341.00 / $11,396.00