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Arizona rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $173.78 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,348.96 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $218.78 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $190.55 / $323.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $190.55 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $223.87 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,041.74 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $162.18 / $275.42