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Pennsylvania rates for HCPCS 28660

Cltx Interphalangeal Joint Dislocation W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.00 / $1,741.00 / $7,175.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$72.17 / $72.17 / $96.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.71 / $160.71 / $160.71
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$112.50 / $112.50 / $112.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.40 / $527.47 / $810.41
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $1,901.00 / $7,799.00
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$72.17 / $72.17 / $96.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.71 / $160.71 / $160.71
Priority Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$112.50 / $112.50 / $112.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.23 / $121.58 / $156.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $650.00 / $3,742.00