go back

Tennessee 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
$694.00 / $2,520.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.66 / $589.72 / $1,024.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.60 / $508.60 / $709.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,766.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.51 / $769.30 / $1,203.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.87 / $773.14 / $1,269.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.12 / $2,487.29 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,600.56 / $4,721.92 / $5,450.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,626.00 / $6,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.26 / $716.18 / $1,323.66