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Pennsylvania rates for HCPCS 28675

Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $4,265.80 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $14,454.40 / $19,498.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,801.89 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,202.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $446.68 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,548.13 / $10,000.00