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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
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.57 / $157.41 / $701.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,651.20 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.72 / $197.05 / $232.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.49 / $188.56 / $309.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.63 / $182.28 / $2,017.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.30 / $201.60 / $1,295.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.00 / $2,567.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.41 / $181.44 / $338.26