go back

Minnesota 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 / $144.54 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $309.03 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $389.05 / $660.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $363.08 / $630.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $316.23 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $239.88 / $478.63