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New Jersey rates for HCPCS 28575

Closed treatment of talotarsal joint dislocation; requiring anesthesia

Facilitymedian $5,623 · 10th–90th $2,291–$10,9650%10%10th90th$5,623Professionalmedian $398 · 10th–90th $302–$1,1220%10%10th90th$398$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $5,888.44 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $371.54 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $478.63 / $1,122.02
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $524.81 / $724.44
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,471.29 / $16,595.87
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $436.52 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $5,128.61 / $8,511.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $389.05 / $891.25