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Virginia rates for HCPCS 28570

Closed treatment of talotarsal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.24 / $2,516.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.94 / $227.30 / $290.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.49 / $242.48 / $400.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.22 / $223.60 / $794.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.97 / $340.97 / $340.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.59 / $250.67 / $483.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.03 / $308.04 / $364.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.26 / $255.50 / $411.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $245.00 / $455.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.56 / $232.75 / $805.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.98 / $274.73 / $819.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.94 / $245.84 / $470.50