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Texas rates for HCPCS 28675

Open Treatment Interphalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.00 / $3,174.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.83 / $4,325.17 / $8,294.46
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $384.20 / $385.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.52 / $703.52 / $703.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,968.16 / $11,500.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.79 / $557.41 / $885.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.79 / $559.45 / $906.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,326.00 / $7,600.00