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Alaska rates for HCPCS 28575

Closed treatment of talotarsal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.25 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.75 / $1,624.32 / $1,796.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.71 / $1,057.99 / $1,664.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.14 / $1,624.32 / $2,515.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.85 / $1,153.80 / $2,318.55
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.30 / $1,776.25 / $2,122.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.79 / $1,624.32 / $2,515.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.94 / $1,692.80 / $2,173.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.74 / $1,865.48 / $2,052.03