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Indiana 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
$773.71 / $4,846.00 / $11,560.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,473.00 / $7,890.00 / $30,900.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.32 / $981.92 / $1,132.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,011.48 / $6,011.48 / $7,126.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00