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Pennsylvania rates for HCPCS 28740

Arthrodesis, midtarsal or tarsometatarsal, single joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.86 / $3,484.00 / $15,026.87
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
$1,048.86 / $1,048.86 / $1,048.86
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$104.89 / $104.89 / $104.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,282.99 / $21,117.02 / $49,318.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.86 / $3,589.00 / $10,011.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.86 / $1,048.86 / $1,048.86
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$104.89 / $104.89 / $104.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.58 / $638.01 / $801.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00