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Massachusetts rates for HCPCS 28575

Closed treatment of talotarsal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.71 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.95 / $365.70 / $589.76
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $2,376.00 / $8,908.95
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.44 / $704.54 / $2,826.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.32 / $547.82 / $977.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.32 / $624.38 / $1,070.13
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.14 / $777.34 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.57 / $555.79 / $767.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.04 / $896.37 / $1,183.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.02 / $760.10 / $2,826.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.65 / $555.20 / $1,229.96