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Indiana rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $3,801.89 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $165.96 / $309.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $8,317.64 / $10,471.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $173.78 / $281.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $134.90 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $213.80 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $186.21 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,715.35 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $165.96 / $288.40