go back

Oklahoma rates for HCPCS 28575

Closed treatment of talotarsal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.00 / $3,683.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.74 / $357.12 / $401.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.89 / $439.27 / $538.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.78 / $2,545.78 / $2,545.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.27 / $414.35 / $582.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.46 / $461.14 / $3,115.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.39 / $395.51 / $2,876.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $1,852.03 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.67 / $364.79 / $541.42