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Idaho rates for HCPCS 28570

Closed treatment of talotarsal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.70 / $314.20 / $476.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.78 / $154.78 / $155.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.07 / $320.31 / $392.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.70 / $314.20 / $510.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.64 / $398.69 / $483.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $339.67 / $427.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.11 / $563.48 / $714.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.55 / $416.96 / $496.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.69 / $286.20 / $459.90