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Minnesota rates for HCPCS 28575

Closed treatment of talotarsal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $389.05 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $371.54 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $6,456.54 / $14,791.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $870.96 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,445.44 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,096.48 / $1,737.80
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,380.38 / $2,691.53
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $977.24 / $1,584.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $676.08 / $1,318.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $724.44 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,467.37 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $630.96 / $1,288.25