go back

Missouri rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.54 / $2,598.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.52 / $360.35 / $606.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.00 / $370.59 / $556.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.59 / $460.54 / $761.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.41 / $514.65 / $2,389.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.59 / $559.96 / $2,876.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $2,306.00 / $3,074.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.46 / $467.30 / $814.51