go back

Pennsylvania rates for HCPCS 28530

Closed treatment of sesamoid fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.92 / $106.40 / $183.06
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.37 / $124.92 / $209.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.20 / $131.13 / $217.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.99 / $191.94 / $248.71
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.33 / $120.94 / $133.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.04 / $117.83 / $259.97
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.76 / $158.69 / $236.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.61 / $133.66 / $219.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.82 / $111.16 / $121.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $140.81 / $213.88