go back

Michigan rates for HCPCS 28130

Talectomy Astragalectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.66 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.53 / $719.00 / $802.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,851.90 / $3,347.30 / $4,535.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $905.48 / $1,644.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.49 / $757.65 / $1,336.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.72 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.36 / $713.23 / $1,002.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $459.70 / $740.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,806.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.70 / $788.63 / $1,044.58