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Alaska rates for HCPCS 28570

Closed treatment of talotarsal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.02 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.91 / $933.10 / $1,102.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.14 / $603.03 / $1,038.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.91 / $933.10 / $1,543.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.03 / $724.89 / $1,456.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.70 / $1,025.50 / $1,326.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.04 / $937.07 / $1,543.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.50 / $985.50 / $1,326.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.97 / $855.62 / $1,247.75