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Vermont rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $177.83 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $234.42 / $316.23
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $245.47 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $213.80 / $426.58