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Ohio rates for HCPCS 28570

Closed treatment of talotarsal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $2,570.40 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $229.09 / $501.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $2,137.96 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $128.82 / $263.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $309.03 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $269.15 / $407.38
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $269.15 / $407.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $95.50
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $302.00
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $263.03 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $912.01 / $2,951.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $213.80 / $354.81