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Michigan rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.75 / $2,056.00 / $6,665.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.67 / $387.00 / $575.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.48 / $2,869.12 / $3,887.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.94 / $504.77 / $886.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.52 / $402.66 / $724.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.79 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.29 / $413.75 / $575.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $245.01 / $457.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $3,640.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.59 / $422.93 / $572.07