go back

Georgia rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.85 / $4,592.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.29 / $619.24 / $1,371.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.68 / $897.68 / $897.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.02 / $2,986.70 / $6,315.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.09 / $671.48 / $1,250.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.90 / $605.90 / $605.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.92 / $831.92 / $2,172.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.47 / $823.70 / $1,451.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.21 / $765.06 / $1,574.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.69 / $871.46 / $1,252.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.00 / $4,826.00 / $7,889.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.05 / $802.55 / $1,462.68