go back

Michigan rates for HCPCS 28540

Cltx Tarsal Dislc Oth/Thn Talotarsal W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.20 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.13 / $197.77 / $255.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.08 / $217.14 / $305.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.39 / $272.89 / $450.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.63 / $220.15 / $425.07
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.59 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.35 / $222.20 / $304.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.69 / $162.92 / $246.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,418.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.59 / $231.60 / $311.69