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Massachusetts rates for HCPCS 28615

Open Treatment Tarsometatarsal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,747.00 / $5,454.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.00 / $5,508.58 / $19,078.05
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$214.60 / $214.60 / $2,411.58
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.51 / $1,814.08 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.28 / $827.28 / $827.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $6,078.00 / $26,542.00
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$214.60 / $214.60 / $2,411.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00