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Maryland rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.87 / $947.87 / $1,273.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.66 / $581.83 / $1,218.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.97 / $526.26 / $578.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.66 / $696.73 / $1,451.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.72 / $869.94 / $1,153.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.27 / $632.87 / $1,357.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.75 / $775.53 / $961.04