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Pennsylvania rates for HCPCS 28505

Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed

Facilitymedian $3,802 · 10th–90th $692$7,9430%5%10th90th$3,802$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $3,801.89 / $7,762.47
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $7,585.78 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $10,964.78 / $19,054.61
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $1,905.46 / $7,079.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $489.78 / $630.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,981.07 / $10,471.29