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New York rates for HCPCS 28615

Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $4,370.39 / $10,475.15
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
$1,164.33 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.63 / $939.63 / $939.63
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$93.73 / $93.73 / $93.73
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $637.50 / $2,192.56
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.63 / $780.63 / $780.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,740.63 / $1,740.63 / $6,967.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $939.63
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$93.73 / $93.73 / $93.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.00 / $6,700.00 / $16,782.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.44 / $999.44 / $2,987.83