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Pennsylvania rates for HCPCS 28630

Cltx Metatarsophlngl Jt Dislc W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.64 / $141.53 / $255.09
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.01 / $160.86 / $160.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.37 / $160.87 / $278.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.36 / $247.17 / $318.44
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.40 / $181.40 / $181.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.31 / $159.44 / $581.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.97 / $170.57 / $317.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.23 / $162.05 / $285.14
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.57 / $147.33 / $160.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.72 / $181.95 / $305.51