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Rhode Island rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.95 / $413.98 / $534.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.67 / $423.18 / $700.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.84 / $609.23 / $766.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.00 / $4,049.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.64 / $537.61 / $797.03