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California rates for HCPCS 28615

Open Treatment Tarsometatarsal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,392.50 / $6,981.29 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.00 / $7,362.00 / $16,106.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $8,569.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $8,809.06 / $15,777.43
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.01 / $989.10 / $1,335.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.81 / $1,094.70 / $1,967.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,095.08 / $25,442.40 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$191.01 / $2,411.58 / $2,411.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.38 / $1,041.83 / $1,436.27
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$315.42 / $315.42 / $315.42
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$93.73 / $93.73 / $268.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $13,555.00 / $29,312.00