go back

Utah rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.52 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.52 / $423.80 / $1,765.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.19 / $462.67 / $719.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $217.53 / $368.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,684.92 / $6,137.22 / $8,943.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.65 / $589.90 / $839.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.56 / $393.68 / $634.34