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Virginia rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.93 / $2,190.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.36 / $372.28 / $575.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.87 / $414.22 / $684.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.10 / $397.71 / $4,039.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $420.00 / $584.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.18 / $439.97 / $825.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.25 / $486.92 / $575.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.50 / $447.22 / $681.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.00 / $491.00 / $725.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.63 / $413.69 / $1,446.64
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.19 / $464.16 / $1,608.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.00 / $2,863.00 / $5,340.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.48 / $417.00 / $700.92