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California rates for HCPCS 28750

Arthrodesis Great Toe Metatarsophalangeal Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.00 / $7,444.00 / $18,668.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.90 / $777.38 / $2,942.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.98 / $553.79 / $982.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,776.00 / $9,030.00 / $17,774.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.47 / $813.48 / $1,669.61
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.90 / $100.00 / $10,987.72
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.62 / $826.60 / $1,670.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,813.00 / $9,727.56 / $17,422.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.08 / $898.42 / $1,659.85
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.33 / $743.48 / $1,273.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.46 / $861.45 / $1,470.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,722.60 / $2,922.77 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$264.92 / $292.27 / $292.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,220.47 / $5,611.44 / $6,523.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.35 / $864.24 / $1,273.70
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$298.83 / $298.83 / $298.83
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$97.86 / $97.86 / $254.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.23 / $969.25 / $1,801.74
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,105.00 / $11,105.00 / $11,105.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,913.94 / $1,913.94 / $2,656.87
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.06 / $614.11 / $1,048.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $13,651.00 / $28,973.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.02 / $832.80 / $1,822.11