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Kansas rates for HCPCS 28575

Closed treatment of talotarsal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.00 / $3,506.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.43 / $387.00 / $606.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.55 / $1,074.97 / $2,263.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.10 / $450.70 / $494.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $330.00 / $330.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.34 / $472.05 / $757.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.43 / $502.87 / $2,505.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.93 / $477.63 / $2,876.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,081.00 / $3,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.38 / $430.07 / $621.65