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North Carolina rates for HCPCS 28630

Closed treatment of metatarsophalangeal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.11 / $149.54 / $255.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.07 / $213.05 / $380.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.54 / $186.86 / $334.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.44 / $198.00 / $202.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.61 / $206.80 / $275.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.63 / $180.90 / $403.67
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.00 / $1,135.68 / $1,330.05