go back

Georgia rates for HCPCS 28570

Closed treatment of talotarsal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.05 / $2,987.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.72 / $230.47 / $389.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.14 / $2,139.92 / $4,143.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.01 / $270.24 / $489.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.85 / $409.23 / $584.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.38 / $340.97 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.44 / $280.81 / $524.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.23 / $311.52 / $601.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.58 / $370.16 / $436.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $1,550.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.21 / $270.35 / $596.51