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Kentucky 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 / $128.87 / $180.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.59 / $88.10 / $159.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.40 / $145.47 / $218.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.55 / $175.82 / $282.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $50.62 / $155.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.78 / $185.02 / $289.08