go back

Georgia rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $3,630.78 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $177.83 / $288.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,187.76 / $4,786.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $213.80 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $645.65 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $229.09 / $380.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $213.80 / $1,071.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $263.03 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,951.21 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $199.53 / $346.74