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Pennsylvania rates for HCPCS 28735

Arthrd Midtarsl/Tars Mlt/Transvrs W/Osteot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.27 / $3,839.00 / $8,509.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,393.00 / $11,479.00 / $18,724.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.40 / $883.40 / $883.40
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$87.35 / $87.35 / $87.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,526.35 / $23,419.29 / $38,034.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.00 / $4,827.64 / $9,534.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.40 / $883.40 / $883.40
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$87.35 / $87.35 / $87.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.79 / $763.79 / $850.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00