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Alaska rates for HCPCS 28750

Arthrodesis, great toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $8,912.51 / $26,915.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $812.83 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,949.84 / $3,388.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,818.38 / $19,952.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,630.27 / $4,897.79
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,162.28 / $4,466.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,202.26 / $3,981.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,096.48 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $2,691.53 / $4,168.69