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Arizona 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 / $151.36 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $158.49 / $275.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $199.53 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $138.04 / $239.88