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Kansas rates for HCPCS 28630

Closed treatment of metatarsophalangeal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.27 / $156.12 / $246.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.47 / $148.79 / $206.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.76 / $180.36 / $305.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.01 / $205.67 / $1,166.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.36 / $181.94 / $251.94