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Arkansas rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.32 / $803.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.12 / $385.95 / $557.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,027.36 / $3,027.36 / $3,632.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.96 / $485.68 / $541.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,856.35 / $1,856.35 / $1,856.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.92 / $509.56 / $632.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,230.00 / $2,539.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.47 / $429.96 / $710.30