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Wyoming rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.16 / $172.49 / $181.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.60 / $1,373.60 / $1,373.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.00 / $333.00 / $503.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.84 / $293.13 / $489.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.96 / $351.05 / $572.00