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Louisiana 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
$762.00 / $1,850.00 / $4,050.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,114.57 / $9,145.96 / $13,354.75
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.90 / $7,618.52 / $7,618.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,200.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $5,780.00 / $13,506.00