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New York rates for HCPCS 28630

Closed treatment of metatarsophalangeal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $158.49 / $354.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $151.36 / $389.05
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $204.17 / $549.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $275.42 / $389.05
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $204.17 / $331.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $281.84 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $162.18 / $416.87
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $190.55 / $389.05