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Washington, DC 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 / $147.91 / $354.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $288.40 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $199.53 / $380.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $257.04 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $177.83 / $354.81