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California rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.58 / $6,423.00 / $17,393.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.75 / $590.85 / $1,449.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.00 / $7,007.00 / $14,981.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.08 / $600.36 / $1,329.45
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $8,138.75
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.53 / $636.47 / $1,297.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $3,101.23 / $5,554.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.39 / $702.48 / $1,336.60
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.09 / $633.54 / $1,068.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.90 / $733.78 / $1,234.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.12 / $2,487.29 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,600.56 / $4,721.92 / $5,450.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.70 / $667.07 / $1,008.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.83 / $746.97 / $1,453.66
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.02 / $1,599.02 / $2,191.67
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.52 / $523.40 / $879.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,359.00 / $15,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.18 / $655.72 / $1,528.57