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Alaska rates for HCPCS 28645

Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $10,715.19 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $691.83 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,621.81 / $2,818.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $1,000.00 / $3,388.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,905.46 / $3,162.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,630.27 / $3,630.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $831.76 / $3,388.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $891.25 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $2,290.87 / $3,467.37