go back

Ohio 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
$1,000.00 / $4,085.00 / $10,268.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,670.00 / $6,003.00 / $30,285.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.30 / $797.78 / $1,161.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.63 / $1,754.23 / $9,214.20
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$93.73 / $93.73 / $93.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,440.00 / $13,382.00