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Massachusetts 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
$630.96 / $3,090.30 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $1,621.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $4,897.79 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $812.83 / $2,089.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,000.00 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $870.96 / $1,621.81
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,000.00 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $954.99 / $1,318.26
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $954.99 / $1,737.80
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $758.58
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $4,897.79 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $812.83 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,265.80 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $851.14 / $1,778.28