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Maryland rates for HCPCS 28615

Open Treatment Tarsometatarsal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $3,609.03 / $13,248.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $4,234.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.96 / $1,127.41 / $1,481.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00