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Georgia rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.44 / $2,800.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.67 / $378.83 / $743.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.65 / $171.65 / $171.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.08 / $2,874.11 / $6,315.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.11 / $482.77 / $892.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.29 / $701.52 / $995.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.02 / $584.02 / $2,172.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.19 / $506.31 / $898.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.57 / $486.43 / $958.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.43 / $603.40 / $696.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $3,218.00 / $5,272.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.25 / $457.17 / $875.11