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North Carolina rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.90 / $531.05 / $5,449.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.66 / $369.80 / $645.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.96 / $515.14 / $950.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.75 / $395.75 / $2,710.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.34 / $477.44 / $890.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.90 / $425.27 / $662.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $440.00 / $507.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.49 / $549.09 / $686.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,733.00 / $6,543.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.27 / $423.84 / $882.34
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.68 / $1,820.96 / $12,000.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,535.92 / $2,826.96 / $3,362.18