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Rhode Island rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $177.83 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $158.49 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $234.42 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $4,073.80 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $194.98 / $338.84