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Tennessee rates for HCPCS 28570

Closed treatment of talotarsal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.36 / $2,011.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.63 / $227.30 / $357.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.00 / $1,410.00 / $2,186.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.92 / $238.68 / $398.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.37 / $277.79 / $442.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,079.72 / $1,079.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.48 / $1,775.63 / $2,115.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.23 / $229.72 / $473.45