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Michigan rates for HCPCS 28545

Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $295.12 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $524.81 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $316.23 / $575.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $331.13 / $446.68
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $316.23 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,786.30 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $309.03 / $416.87