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Michigan rates for HCPCS 28605

Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.58 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.98 / $389.58 / $538.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.44 / $298.14 / $401.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.61 / $480.06 / $828.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.58 / $351.88 / $651.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.86 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.86 / $389.58 / $611.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.81 / $225.28 / $401.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,418.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.45 / $363.16 / $526.42