go back

Massachusetts rates for HCPCS 28570

Closed treatment of talotarsal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.63 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.68 / $192.83 / $324.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $713.54 / $2,713.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.92 / $426.36 / $1,774.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.52 / $324.49 / $579.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.53 / $367.83 / $662.77
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.42 / $345.33 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.58 / $350.85 / $486.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.07 / $535.94 / $682.63
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.79 / $281.79 / $281.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,079.72 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.63 / $458.75 / $1,774.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.34 / $376.11 / $743.19