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California rates for HCPCS 28665

Closed treatment of interphalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $154.88 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $194.98 / $380.19
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $194.98 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $181.97 / $346.74
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $158.49 / $229.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $169.82 / $309.03
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,288.25 / $1,288.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $218.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $346.74
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $512.86
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $151.36 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $147.91 / $295.12