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Indiana rates for HCPCS 28575

Closed treatment of talotarsal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.17 / $597.20 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.26 / $356.28 / $482.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,950.00 / $13,758.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.46 / $314.97 / $447.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.33 / $443.79 / $665.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.37 / $441.71 / $636.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,508.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.27 / $407.28 / $664.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,874.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.04 / $380.54 / $679.13