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Wyoming rates for HCPCS 28575

Closed treatment of talotarsal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.24 / $388.07 / $500.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,767.20 / $2,767.20 / $2,767.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.00 / $751.00 / $1,136.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.28 / $694.47 / $1,449.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.86 / $741.10 / $1,151.97