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Virginia 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 / $3,388.44 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $645.65 / $1,288.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,413.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $707.95 / $1,202.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $758.58 / $6,918.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $676.08 / $1,288.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $831.76 / $977.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $691.83 / $1,513.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $691.83 / $1,148.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $602.56 / $6,918.31
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $794.33 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $7,079.46 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $588.84 / $1,148.15