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Virginia rates for HCPCS 28264

Capsulotomy, midtarsal (eg, Heyman type procedure)

Facilitymedian $1,549 · 10th–90th $741–$8,9130%5%10%10th90th$1,549Professionalmedian $1,202 · 10th–90th $933–$1,8620%20%10th90th$1,202$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $2,570.40 / $7,079.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,202.26 / $1,412.54
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,258.93 / $2,137.96
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,071.52 / $1,621.81
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $912.01 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $10,471.29 / $21,379.62