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Delaware rates for HCPCS 28750

Arthrodesis, great toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.26 / $4,904.00 / $32,037.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.41 / $703.85 / $855.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,434.50 / $5,434.50 / $5,434.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.09 / $778.66 / $1,424.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.76 / $7,621.48 / $36,478.73
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.67 / $775.63 / $1,416.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.00 / $2,783.00 / $2,783.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.38 / $884.70 / $1,822.48