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Minnesota rates for HCPCS 28615

Open Treatment Tarsometatarsal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.66 / $834.66 / $4,828.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,733.39 / $12,419.39 / $25,424.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,038.91 / $2,892.92 / $6,959.31
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$93.73 / $93.73 / $93.73
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,853.56 / $2,644.82 / $5,479.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.66 / $1,420.96 / $6,137.62
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$214.60 / $214.60 / $214.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00