go back

Michigan rates for HCPCS 28130

Talectomy (astragalectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $630.96 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,445.44 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,348.96 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $776.25 / $1,819.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,047.13
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $741.31 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,623.41 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $776.25 / $1,023.29