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North Carolina rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $489.78 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $169.82 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $223.87 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $218.78 / $380.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $416.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $199.53 / $309.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $269.15 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $3,467.37 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $173.78 / $323.59
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $19,498.45
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,445.44