go back

Arkansas rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $794.33 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $162.18 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $186.21 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $218.78 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,445.44 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $181.97 / $288.40