go back

Maryland rates for HCPCS 28200

Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $488.26 / $5,165.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.66 / $457.50 / $1,265.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.29 / $343.29 / $445.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.00 / $509.14 / $1,072.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.21 / $659.46 / $879.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.47 / $554.86 / $967.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.99 / $587.89 / $727.53