go back

Illinois rates for HCPCS 28615

Open Treatment Tarsometatarsal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.61 / $2,368.00 / $10,073.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,369.28 / $10,797.81 / $19,469.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $8,728.10 / $9,743.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.73 / $1,352.01 / $3,249.32
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.00 / $6,920.00 / $14,716.00