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Missouri rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $2,570.40 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $173.78 / $436.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $169.82 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $177.83 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $208.93 / $338.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $229.09 / $2,754.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $263.03 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,318.26 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $181.97 / $288.40