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Arizona rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.90 / $3,382.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.75 / $588.63 / $1,094.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.44 / $731.72 / $867.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.25 / $658.90 / $1,145.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.02 / $647.49 / $3,339.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.67 / $721.99 / $4,876.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.94 / $644.64 / $1,252.80