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Pennsylvania rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $2,070.00 / $7,197.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.36 / $357.12 / $575.03
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.60 / $401.19 / $661.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.02 / $584.02 / $584.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.89 / $418.52 / $694.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.57 / $626.37 / $802.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.04 / $2,266.00 / $7,799.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.75 / $385.95 / $1,541.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.84 / $426.30 / $781.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.02 / $584.02 / $584.02
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.56 / $423.40 / $700.22
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.81 / $335.14 / $373.08
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.99 / $364.76 / $400.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.27 / $423.53 / $702.11