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Delaware rates for HCPCS 28575

Closed treatment of talotarsal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.75 / $343.89 / $384.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.57 / $1,732.57 / $1,732.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.23 / $355.40 / $634.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.00 / $1,320.00 / $1,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.13 / $333.47 / $844.05