go back

California rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.00 / $4,848.00 / $16,573.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.50 / $165.03 / $712.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,597.00 / $9,381.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.27 / $185.94 / $379.49
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,117.38
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.31 / $177.59 / $370.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.00 / $1,646.28 / $2,948.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.29 / $200.60 / $388.21
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.51 / $171.60 / $286.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.05 / $198.38 / $330.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.12 / $671.79 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.16 / $1,263.59 / $1,456.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.82 / $198.00 / $298.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.71 / $211.79 / $432.31
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.41 / $435.41 / $583.27
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.32 / $159.86 / $236.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,048.00 / $4,060.00 / $9,131.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.08 / $181.46 / $417.70