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Missouri rates for HCPCS 28575

Closed treatment of talotarsal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,570.40 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $389.05 / $933.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $371.54 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $436.52 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $741.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $524.81 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $549.54 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,778.28 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $660.69