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Nationwide rates for HCPCS 28630

Closed treatment of metatarsophalangeal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $147.91 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $151.36 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $190.55 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $154.88 / $295.12