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Pennsylvania 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
$676.08 / $3,890.45 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $630.96 / $1,412.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,023.29 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $630.96 / $1,174.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,071.52 / $1,380.38
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $660.69 / $1,071.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $7,762.47 / $15,135.61
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $501.19 / $537.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $3,630.78 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $741.31 / $1,659.59
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $1,000.00 / $1,412.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $467.74 / $478.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $467.74 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,548.13 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $645.65 / $1,096.48