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Nevada rates for HCPCS 28630

Closed treatment of metatarsophalangeal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.21 / $146.33 / $581.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.75 / $123.56 / $184.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.89 / $168.43 / $257.27
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $150.31 / $245.52
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $151.96 / $255.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.63 / $168.51 / $259.92