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Arizona rates for HCPCS 28575

Closed treatment of talotarsal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.52 / $356.29 / $645.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,651.20 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.61 / $467.59 / $555.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.16 / $407.41 / $697.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.68 / $420.69 / $2,056.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.18 / $404.31 / $2,876.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.00 / $2,522.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.47 / $361.76 / $704.15