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Kentucky rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.12 / $396.52 / $3,740.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.12 / $357.12 / $448.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $2,067.00 / $2,978.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.95 / $260.55 / $444.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.89 / $444.36 / $512.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.14 / $444.36 / $704.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.33 / $584.02 / $584.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.14 / $455.14 / $679.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $457.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $1,450.00 / $5,301.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.57 / $434.66 / $679.13