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Connecticut rates for HCPCS 28630

Closed treatment of metatarsophalangeal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $154.88 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $223.87 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $229.09 / $380.19
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $213.80 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $194.98 / $389.05