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Maryland 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
$954.99 / $954.99 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $616.60 / $1,584.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $537.03 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $676.08 / $1,348.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $794.33 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $524.81 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $630.96 / $1,174.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,023.29