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Wyoming rates for HCPCS 28630

Closed treatment of metatarsophalangeal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.40 / $139.47 / $203.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.00 / $302.00 / $457.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.19 / $245.36 / $442.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $312.74 / $491.40