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Idaho rates for HCPCS 28576

Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $501.19 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $4,365.16 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $776.25 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $524.81 / $676.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $645.65 / $1,000.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $724.44 / $977.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $16,218.10 / $22,908.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $758.58 / $933.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $457.09 / $11,220.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $5,495.41 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $562.34 / $794.33