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California rates for HCPCS 28575

Closed treatment of talotarsal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $6,025.60 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $398.11 / $1,445.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,466.84 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $416.87 / $933.25
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $2,398.83 / $6,918.31
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $436.52 / $851.14
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $467.74 / $724.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $478.63 / $831.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $19,498.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,388.44 / $3,388.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $549.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $478.63 / $741.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $446.68 / $912.01
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,230.27
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $234.42 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $4,365.16 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $346.74 / $741.31