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Tennessee rates for HCPCS 28575

Closed treatment of talotarsal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,137.96 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $380.19 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $4,073.80 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $512.86 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $467.74 / $741.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $19,498.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,388.44 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,290.87 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $389.05 / $676.08