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Maryland rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,568.27 / $3,568.27 / $3,568.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.26 / $367.50 / $716.76
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.26 / $355.10 / $400.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $339.05 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.27 / $446.76 / $881.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.36 / $533.23 / $708.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.00 / $471.00 / $701.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.79 / $416.84 / $724.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.11 / $475.36 / $583.97