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New York rates for HCPCS 28210

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.64 / $3,414.00 / $8,670.00
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
$601.38 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.48 / $718.48 / $718.48
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $486.17 / $1,093.88
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.83 / $545.83 / $545.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,141.06 / $4,141.06 / $4,141.06
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $718.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.00 / $6,700.00 / $16,782.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.99 / $513.99 / $1,972.65