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Delaware rates for HCPCS 28630

Closed treatment of metatarsophalangeal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.42 / $136.33 / $154.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.09 / $138.10 / $278.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.59 / $146.13 / $355.86