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Vermont rates for HCPCS 28575

Closed treatment of talotarsal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.12 / $402.90 / $449.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.81 / $574.76 / $837.56
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.93 / $524.73 / $837.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.49 / $526.05 / $1,529.31