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Nebraska rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.76 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.63 / $352.76 / $1,765.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.63 / $3,041.74 / $5,883.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.82 / $556.72 / $758.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.78 / $804.81 / $1,058.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.48 / $583.91 / $1,640.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.80 / $740.55 / $2,576.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.00 / $890.49 / $2,842.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.04 / $776.57 / $1,053.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.80 / $740.55 / $964.91