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Michigan rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $165.96 / $263.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $213.80 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $181.97 / $309.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $186.21 / $275.42
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $165.96 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,951.21 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $177.83 / $239.88