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Florida 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 / $141.25 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $169.82 / $288.40
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $134.90 / $173.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $134.90 / $251.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $131.83 / $173.78