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Nebraska rates for HCPCS 28630

Closed treatment of metatarsophalangeal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $158.49 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $194.98 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $302.00 / $457.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $295.12 / $1,174.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $338.84 / $457.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $338.84 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $223.87 / $363.08