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Idaho 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
$1,427.72 / $7,761.00 / $33,593.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,384.97 / $5,384.97 / $5,400.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.17 / $1,363.20 / $1,945.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,951.56 / $17,361.59 / $22,059.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00