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Idaho rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.27 / $916.89 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.66 / $478.28 / $770.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.78 / $1,895.78 / $1,901.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.94 / $525.50 / $646.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.51 / $587.34 / $872.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.48 / $655.77 / $801.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $541.48 / $681.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,682.33 / $7,849.65 / $9,927.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.12 / $706.85 / $801.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,450.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.91 / $553.28 / $785.77