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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
$106.19 / $153.00 / $258.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.19 / $152.65 / $348.25
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.62 / $155.62 / $219.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.72 / $199.95 / $505.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.59 / $239.41 / $352.32
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.72 / $159.84 / $331.73
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.97 / $212.93 / $497.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.12 / $195.23 / $486.65
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.72 / $204.16 / $331.73