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Iowa rates for HCPCS 28615

Open Treatment Tarsometatarsal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,491.26 / $4,014.00 / $7,119.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.21 / $1,162.48 / $2,249.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.14 / $2,019.23 / $14,242.22
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,411.58 / $2,411.58 / $2,411.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,279.00 / $2,052.44 / $8,463.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,220.00 / $9,259.00 / $14,242.22