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Michigan rates for HCPCS 28576

Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $398.11 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $645.65 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $478.63 / $831.76
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $446.68 / $602.56
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $478.63 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,623.41 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $446.68 / $616.60