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North Dakota rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $177.83 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $162.18 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $338.84 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $323.59 / $478.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $194.98 / $398.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $323.59 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,019.95 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $263.03 / $380.19