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Pennsylvania rates for HCPCS 28160

Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each

Facilitymedian $4,074 · 10th–90th $457–$8,5110%10%10th90th$4,074Professionalmedian $380 · 10th–90th $245–$6610%20%10th90th$380$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $4,073.80 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $380.19 / $645.65
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,248.07 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $575.44 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $407.38 / $724.44
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $660.69 / $831.76
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $426.58 / $676.08
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $10,964.78 / $10,964.78
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $275.42 / $281.84
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $3,630.78 / $7,244.36
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $389.05 / $870.96
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $616.60 / $912.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $407.38 / $478.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $407.38 / $478.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,981.07 / $10,471.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $407.38 / $691.83