go back

Alaska rates for HCPCS 28220

Tenolysis, flexor, foot; single tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,259.42 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.63 / $1,518.92 / $2,136.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.12 / $1,095.63 / $1,936.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.71 / $1,518.92 / $2,990.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.27 / $414.68 / $621.78
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.75 / $1,705.69 / $2,606.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.72 / $1,670.81 / $2,990.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.00 / $1,649.20 / $2,540.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.59 / $1,756.17 / $2,561.02