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New York rates for HCPCS 28262

Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.47 / $4,072.50 / $11,609.00
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
$1,581.50 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,899.98 / $1,899.98 / $1,899.98
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,194.19 / $2,947.48
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.75 / $1,287.75 / $1,287.75
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $1,899.98
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
$1,327.91 / $1,327.91 / $5,143.18