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Illinois 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
$776.25 / $2,344.23 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $645.65 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,897.79 / $10,471.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $794.33 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $724.44 / $1,148.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $954.99 / $1,737.80
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $616.60 / $870.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,630.78 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $1,174.90