go back

Pennsylvania rates for HCPCS 28725

Arthrodesis; subtalar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.82 / $4,831.00 / $12,865.70
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.12 / $883.12 / $883.12
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$87.84 / $87.84 / $87.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,340.75 / $25,297.20 / $74,374.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.57 / $4,967.35 / $23,917.31
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.12 / $883.12 / $883.12
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$87.84 / $87.84 / $87.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.51 / $760.51 / $760.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00