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Idaho 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
$1,192.73 / $1,589.61 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.29 / $667.97 / $1,088.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.78 / $1,895.78 / $1,901.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.53 / $827.14 / $1,147.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.43 / $869.86 / $1,433.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.11 / $1,043.96 / $1,265.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,022.84 / $1,139.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,290.46 / $7,849.65 / $9,927.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.76 / $1,112.66 / $1,334.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.99 / $984.37 / $1,400.83