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Pennsylvania rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.02 / $2,747.00 / $8,104.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.29 / $590.85 / $1,057.75
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.26 / $664.42 / $1,063.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.92 / $831.92 / $831.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.48 / $643.21 / $1,151.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.73 / $1,010.18 / $1,310.53
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,876.50 / $5,330.97 / $15,089.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.50 / $513.15 / $825.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.42 / $3,623.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.29 / $642.36 / $1,476.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.60 / $472.80 / $1,407.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.92 / $831.92 / $831.92
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.17 / $659.49 / $1,164.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.75 / $473.63 / $627.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.47 / $499.41 / $669.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.33 / $789.30 / $1,298.64