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Michigan 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
$616.60 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $616.60 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,047.13 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $645.65 / $1,122.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $4,073.80 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $691.83 / $1,096.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $616.60 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,786.30 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $630.96 / $891.25