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North Carolina 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
$808.36 / $2,233.10 / $8,177.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,221.47 / $3,221.47 / $4,603.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $7,698.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.61 / $980.08 / $1,494.04
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$156.05 / $228.20 / $365.38
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$109.24 / $152.87 / $255.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,095.08 / $25,442.40 / $26,542.00
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$191.01 / $1,449.86 / $2,411.58