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Nebraska 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
$1,348.96 / $7,244.36 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $10,715.19 / $20,892.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $870.96 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,230.27 / $1,905.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $831.76 / $4,073.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,230.27 / $4,897.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,479.11 / $1,949.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,445.44 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $4,897.79 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $954.99 / $1,548.82