go back

Rhode Island rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,424.15 / $3,243.94 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.81 / $618.72 / $990.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.70 / $661.82 / $1,272.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.16 / $811.98 / $1,358.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.00 / $4,571.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.39 / $780.68 / $1,443.58