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Nebraska rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $3,801.89 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $181.97 / $724.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,019.95 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $234.42 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $338.84 / $512.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $229.09 / $1,995.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $338.84 / $1,288.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $407.38 / $512.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $389.05 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,162.28 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $263.03 / $416.87