go back

New York rates for HCPCS 28202

Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.79 / $3,414.00 / $9,267.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,749.00 / $9,877.00 / $16,490.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.21 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.66 / $739.66 / $739.66
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $852.00 / $1,631.48
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.05 / $561.05 / $561.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,355.00 / $2,355.00 / $2,355.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $739.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,416.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.74 / $519.74 / $2,156.89