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Missouri rates for HCPCS 28570

Closed treatment of talotarsal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.11 / $2,598.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.99 / $218.46 / $377.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.10 / $198.14 / $301.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.59 / $265.55 / $448.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.75 / $276.05 / $628.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.16 / $337.53 / $1,800.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.48 / $270.52 / $485.34