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Iowa rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.00 / $3,576.15 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.63 / $411.93 / $605.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.09 / $865.35 / $1,038.85
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.17 / $521.99 / $982.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.58 / $840.94 / $5,163.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.15 / $750.90 / $2,576.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.28 / $865.35 / $2,932.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.04 / $818.93 / $1,036.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.75 / $627.66 / $3,254.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $4,663.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.79 / $557.30 / $1,032.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.77 / $763.00 / $897.70