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Pennsylvania rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $169.82 / $371.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,466.84 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $204.17 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $186.21 / $316.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $281.84 / $363.08
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $194.98 / $309.03
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $173.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $2,344.23 / $7,762.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $208.93 / $501.19
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $363.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $263.03 / $380.19
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $169.82 / $309.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $181.97 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,630.27 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $181.97 / $295.12