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Nebraska 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
$1,535.25 / $8,042.03 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,183.05 / $10,762.95 / $20,819.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,728.42 / $6,728.42 / $6,728.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.41 / $1,372.34 / $9,696.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$214.60 / $2,411.58 / $2,411.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,915.96 / $8,522.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00