go back

Indiana rates for HCPCS 28740

Arthrodesis Midtarsometatarsal Single Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.29 / $1,984.63 / $14,063.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,146.00 / $9,219.00 / $30,900.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.80 / $790.33 / $1,185.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,762.90 / $6,762.90 / $8,016.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,330.00 / $17,416.00