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New York rates for HCPCS 28575

Closed treatment of talotarsal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.31 / $2,660.00 / $7,521.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.26 / $385.95 / $676.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $5,196.00 / $11,909.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.36 / $365.64 / $844.26
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.24 / $1,254.00 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.24 / $477.24 / $533.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.02 / $584.02 / $584.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.46 / $513.13 / $1,299.04
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $368.00 / $934.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.93 / $605.19 / $892.84
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.76 / $365.76 / $365.76
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.06 / $465.28 / $820.76
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $584.02 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.71 / $530.35 / $1,275.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.00 / $3,961.00 / $8,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.37 / $474.48 / $1,135.20
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.10 / $417.10 / $1,325.01
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.39 / $509.72 / $886.72