go back

Florida rates for HCPCS 28570

Closed treatment of talotarsal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.15 / $2,815.00 / $10,632.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.78 / $197.36 / $270.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.73 / $128.51 / $152.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.29 / $253.83 / $390.57
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,403.00 / $4,241.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $171.00 / $264.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.24 / $176.89 / $304.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $5,107.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.59 / $202.35 / $418.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.16 / $142.34 / $142.34