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North Carolina rates for HCPCS 28575

Closed treatment of talotarsal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $933.25 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $380.19 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $478.63 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $467.74 / $812.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $870.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $436.52 / $660.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $630.96 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,467.37 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $363.08 / $707.95
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $19,498.45
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $3,388.44